CH 250 Proof Of Service Response By Mail Ch250
User Manual: CH-250
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CH-250 1 Proof of Service of Response by Mail To keep other people from seeing what you entered on your form, please press the Clear This Form button at the end of the form when finished. Person Seeking Protection Name: 2 Clerk stamps date here when form is filed. Person From Whom Protection Is Sought Your Name: 3 Notice to Server The server must: • Be 18 years of age or older. • Live or be employed in the county where the mailing took place. • Not be listed in items 1 or 3 of Form CH-100. • Mail a copy of all documents checked in 4 to the person in 1 . • Complete and sign this form and give it to the person in 2 . Fill in court name and street address: Superior Court of California, County of Fill in case number: Case Number: PROOF OF SERVICE BY MAIL 4 I am 18 years of age or older and not a party to this proceeding. I live or am employed in the county where the mailing took place. I mailed the person in 1 a copy of all documents checked below: a. Form CH-120, Response to Request for Civil Harassment Restraining Orders b. Other (specify): 5 I placed copies of the documents checked above in a sealed envelope and mailed them as described below: a. Mailed to (name): b. To this address: City: c. On (date): 6 Zip: State: Mailed from: City: State: Server’s Information Name: Address: City: Zip: State: Telephone: (If you are a registered process server): Registration number: County of registration: I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date: Type or print server’s name Judicial Council of California, www.courts.ca.gov Rev. January 1, 2012, Optional Form Code of Civil Procedure, § 527.6 Server to sign here Proof of Service of Response by Mail CH-250, Page 1 of 1 (Civil Harassment Prevention) For your protection and privacy, please press the Clear This Form button after you have printed the form. Save This Form Print This Form Clear This Form
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File Type : PDF File Type Extension : pdf MIME Type : application/pdf PDF Version : 1.6 Linearized : Yes Encryption : Standard V4.4 (128-bit) User Access : Print, Fill forms, Extract, Print high-res Author : Judicial Council of California Create Date : 2011:11:14 08:07:09-08:00 Keywords : Forms Modify Date : 2012:05:23 14:50:34-07:00 Has XFA : No XMP Toolkit : Adobe XMP Core 5.2-c001 63.139439, 2010/09/27-13:37:26 Creator Tool : PScript5.dll Version 5.2.2 Metadata Date : 2012:05:23 14:50:34-07:00 Producer : Acrobat Distiller 10.0.1 (Windows) Format : application/pdf Title : CH-250 Proof of Service of Response by Mail Creator : Judicial Council of California Description : Judicial Council forms Subject : Forms Document ID : uuid:ad430f6e-53ef-4b77-8ad2-8acf606288d9 Instance ID : uuid:2d5f5449-d721-4dfb-8dfa-5ce437873385 State : 1 Version : 1.1 Page Count : 1 Signing Date : 2012:05:23 14:50:34-07:00 Signing Authority : ARE Acrobat Product v8.0 P23 0002337 Document Usage Rights : FullSave Form Usage Rights : Add, FillIn, Delete, SubmitStandalone Signature Usage Rights : ModifyEXIF Metadata provided by EXIF.tools