Form #L-129
Form Adopted for Optional Use
Form #L-129
[Rev. 08/30/17]
PROOF OF SERVICE
(Petition for Dismissal under Penal Code 1210.1(d) &
Notice of Hearing)
Penal Code § 1210.1(d)
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
TELEPHONE NO.: FAX NO.:
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
FOR COURT USE ONLY
SUPERIOR COURT OF CAL IFORNIA, COUNTY OF ORANGE
JUSTICE CENTER:
Central - 700 Civic Center Dr. West, Santa Ana, CA 92701
Harbor-Newport Beach Facility - 4601 Jamboree Rd., Newport Beach, CA 92660-2595
North - 1275 N. Berkeley Ave., P.O. Box 5000, Fullerton, CA 92838-0500
West - 8141 13th Street, Westminster, CA 92683
PEOPLE OF THE STATE OF CALIFORNIA vs.
PROOF OF SERVICE
(Petition for Dismissal under Penal Code 1210.1(d) & Notice of Hearing)
CASE NUMBER:
Mail Personal Service
1. At the time of service I was at least 18 years of age and not a party to this legal action.
2. My residence or business address is (specify):
3. I served a copy of the Petition for Dismissal under Penal Code 1210.1(d) & Notice of Hearing as follows (complete either a or
b):
a. Mail. I am a resident of or employed in the county where the mailing occurred.
(1) I enclosed a copy in an envelope and
(a) deposited the sealed envelope with the United States Postal Service, with the postage fully
prepaid.
(b) placed the envelope for collection and mailing on the date and at the place shown below,
following our ordinary business practices. I am readily familiar with this business’s practice for
collecting and processing correspondence for mailing. On the same day that correspondence is
placed for collection and mailing, it is deposited in the ordinary course of business with the United
States Postal Service, in a sealed envelope with postage fully prepaid.
(2) The envelope was addressed and mailed as follows:
(a) Please check appropriate box(es): O.C. District Attorney or City Attorney (as applicable)
O.C. Probation
(b) Address on envelope(s):
(c) Date of Mailing:
(d) Place of mailing (city and state):
b. Personal delivery. I personally delivered a copy as follows:
(1) Please check appropriate box(es): O.C. District Attorney or City Attorney (as applicable)
O.C. Probation
(2) Address where delivered:
(3) Date delivered:
(4) Time delivered:
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
__________________________________________ ____________________________________________
(TYPE OR PRINT NAME) (SIGNATURE)
