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SUPERIOR COURT OF CALIFORNIA, COUNTY OF IMPERIAL FOR COURT USE ONLY 939 W. MAIN STREET EL CENTRO, CA 92243

PETITIONER:

RESPONDENT:

CASE NUMBER:

CERTIFICATE OF EXECUTION

The undersigned authority has the honor to certify that the documents described below:

1. Were served on the Respondent (name) ______________________________, on (date) __________________ at (time) a.m./p.m., at (address) _____________________________________ _______________________________ by one of the following methods authorized by the Letter Rogatory: (Please mark the appropriate box) By personal service on the identified address to Respondent; In the following method in accordance with the law of the State of Destination: Substitute service Publication Posting Other (describe)
2. Were not served, by reason of the following facts(state reasons): ___________________________________________

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ANNEXES Documents returned: __________________________________________________________________________________

Executed at ___________________________________, this _______ day of ________, 20. (City, State, and Country)

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Name, signature and/or stamp of the Receiving Authority of the State of Destination

Mark box next to documents served on the Respondent: Summons Copy of this Letter Rogatory Blank Declaration Under Uniform Child Custody Petition for Dissolution of Marriage Declaration Under Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) Petition for Legal Separation Jurisdiction and Enforcement Act (UCCJEA) Blank Property Declaration Petition for Nullity Declaration of Diligence Regarding Attempts Blank Declaration of Disclosure Petition to Establish Parental to Locate Respondent Blank Income and Expense Declaration Relationship Notice of Family Law Case Management Blank Schedule of Assets and Debts Property Declaration Conference Blank Case Management Questionnaire Declaration of Disclosure Blank Response to Petition for Dissolution of Other: __________________________________ (Preliminary) Marriage, Legal Separation or Nullity ________________________________________ . Income and Expense Declaration Blank Response to Petition to Establish Schedule of Assets and Debts Parental Relationship

Form Approved for Optional Use imperial.courts.ca.gov FL-18C (Adopted 01/01/11, CERTIFICATE OF EXECUTION Revised 01/01/12-01/01/15)