POS-040

ATTORNEY OR PARTY WITHOUT ATTORNEY: STATE BAR NO: FOR COURT USE ONLY
NAME: CHRISTOPHER M. FOSHEE
FIRM NAME:
STREET ADDRESS: 3134 WRIGHT STREET
CITY: SACRAMENTO STATE: CA ZIP CODE: 95821
TELEPHONE NO.: FAX NO. :

E-MAIL ADDRESS:

ATTORNEY FOR (name): IN PRO PER

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SACRAMENTO
STREET ADDRESS: 301 BISENTENNIAL CIR.
MAILING ADDRESS:
CITY AND ZIP CODE: SACRAMENMTO, CA 95826
BRANCH NAME: CAROL MILLER JUSTICE CENTER
CASE NUMBER:
Plaintiff/Petitioner: MICHAEL T. BUTLER 23UD01132
Defendant/Respondent: CHRISTOPHER M. FORSEE
JUDICIAL OFFICER:
PROOF OF SERVICE—CIVIL
Check method of service (only one):
By Personal Service By Mail By Overnight Delivery DEPARTMENT:

By Messenger Service By Fax 88

Do not use this form to show service of a summons and complaint or for electronic service.
See USE OF THIS FORM on page 3.
1. At the time of service I was over 18 years of age and not a party to this action.
2. My residence or business address is:
5830 RIGHTWOOD WAY, SACRAMENTO, CA 95823

3. The fax number from which I served the documents is (complete if service was by fax):

4. On (date): 02/28/2023 I served the following documents (specify):

DEMURRER, WITH ATTACHED NOTICE , COMPLAINT AND RENTAL AGREEMENT

5. I served the documents on the person or persons below, as follows:

a. Name of person served: LAW OFFICE OF JOSHUA B. CLARK
b. (Complete if service was by personal service, mail, overnight delivery, or messenger service.)
Business or residential address where person was served:
11 NATOMA STREET, SUITE 120, FOLSOM, CA 95630
c. (Complete if service was by fax.)
Fax number where person was served:

The names, addresses, and other applicable information about persons served is on the Attachment to Proof of Service—
Civil (Persons Served) (form POS-040(P)).

6. The documents were served by the following means (specify):

a. By personal service. I personally delivered the documents to the persons at the addresses listed in item 5. (1) For a
party represented by an attorney, delivery was made (a) to the attorney personally; or (b) by leaving the documents at the
attorney's office, in an envelope or package clearly labeled to identify the attorney being served, with a receptionist or an
individual in charge of the office; or (c) if there was no person in the office with whom the notice or papers could be left, by
leaving them in a conspicuous place in the office between the hours of nine in the morning and five in the evening. (2) For
a party, delivery was made to the party or by leaving the documents at the party's residence with some person not
younger than 18 years of age between the hours of eight in the morning and eight in the evening.

Page 1 of 3

Form Approved for Optional Use

Judicial Council of California
PROOF OF SERVICE—CIVIL Code of Civil Procedure, §§ 1011, 1013, 1013a,
2015.5; Cal. Rules of Court, rule 2.306
POS-040 [Rev. January 1, 2020] (Proof of Service) www.courts.ca.gov
 POS-040
CASE NAME: CASE NUMBER:
M. BUTLER V. C. FORSEE

6. b. By United States mail. I enclosed the documents in a sealed envelope or package addressed to the persons at the
addresses in item 5 and (specify one):

(1)
(2)

I am a resident or employed in the county where the mailing occurred. The envelope or package was placed in the mail at
(city and state): SACRAMENTO, COUNTY OF SACRAMENTO, CALIFORNIA
c. By overnight delivery. I enclosed the documents in an envelope or package provided by an overnight delivery carrier
and addressed to the persons at the addresses in item 5. I placed the envelope or package for collection and overnight
delivery at an office or a regularly utilized drop box of the overnight delivery carrier.
d. By messenger service. I served the documents by placing them in an envelope or package addressed to the persons at
the addresses listed in item 5 and providing them to a professional messenger service for service. (A declaration by the
messenger must accompany this Proof of Service or be contained in the Declaration of Messenger below.)

e. By fax transmission. Based on an agreement of the parties to accept service by fax transmission, I faxed the documents
to the persons at the fax numbers listed in item 5. No error was reported by the fax machine that I used. A copy of the
record of the fax transmission, which I printed out, is attached.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Date: 02/28/2023

REX ANSON DAWEDEIT

(TYPE OR PRINT NAME OF DECLARANT) (SIGNATURE OF DECLARANT)

(If item 6d above is checked, the declaration below must be completed or a separate declaration from a messenger must be attached.)

DECLARATION OF MESSENGER

By personal service. I personally delivered the envelope or package received from the declarant above to the persons at the
addresses listed in item 5. (1) For a party represented by an attorney, delivery was made (a) to the attorney personally; or (b) by
leaving the documents at the attorney's office, in an envelope or package clearly labeled to identify the attorney being served,
with a receptionist or an individual in charge of the office; or (c) if there was no person in the office with whom the notice or
papers could be left, by leaving them in a conspicuous place in the office between the hours of nine in the morning and five in the
evening. (2) For a party, delivery was made to the party or by leaving the documents at the party's residence with some person
not younger than 18 years of age between the hours of eight in the morning and eight in the evening.

At the time of service, I was over 18 years of age. I am not a party to the above-referenced legal proceeding.

I served the envelope or package, as stated above, on (date):

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:

(NAME OF DECLARANT) (SIGNATURE OF DECLARANT)

POS-040 [Rev. January 1, 2020] PROOF OF SERVICE—CIVIL Page 2 of 3

(Proof of Service)
 POS-040
INFORMATION SHEET FOR PROOF OF SERVICE—CIVIL
(This information sheet is not part of the official proof of service form and does not need to be copied, served, or filed.)
USE OF THIS FORM

This form is designed to be used to show proof of service of documents by (1) personal service, (2) mail, (3) overnight
delivery, (4) messenger service, or (5) fax.

This proof of service form should not be used to show proof of service of a summons and complaint. For that purpose,
use Proof of Service of Summons (form POS-010).

Also, this proof of service form should not be used to show proof of electronic service. For that purpose, use Proof of
Electronic Service (form POS-050).
Certain documents must be personally served. For example, an order to show cause and temporary restraining order
generally must be served by personal delivery. You must determine whether a document must be personally delivered or
can be served by mail or another method.

GENERAL INSTRUCTIONS
A person must be over 18 years of age to serve the documents. The person who served the documents must complete
the Proof of Service. A party to the action cannot serve the documents.
The Proof of Service should be typed or printed. If you have Internet access, a fillable version of this proof of service form
is available at www.courts.ca.gov/forms.htm.
Complete the top section of the proof of service form as follows:
First box, left side: In this box print the name, address, and telephone number of the person for whom you served the
documents.
Second box, left side: Print the name of the county in which the legal action is filed and the court's address in this box.
The address for the court should be the same as the address on the documents that you served.
Third box, left side: Print the names of the plaintiff/petitioner and defendant/respondent in this box. Use the same names
as are on the documents that you served.
Fourth box, left side: Check the method of service that was used. You should check only one method of service and
should show proof of only one method on the form. If you served a party by several methods, use a separate form to show
each method of service.
First box, top of form, right side: Leave this box blank for the court’s use.
Second box, right side: Print the case number in this box. The case number should be the same as the case number on
the documents that you served.
Third box, right side: State the judge and department assigned to the case, if known.
Complete items 1–6:
1. You are stating that you are over the age of 18.
2. Print your home or business address.
3. If service was by fax service, print the fax number from which service was made.
4. List each document that you served. If you need more space, check the box in item 4, complete the Attachment to
Proof of Service—Civil (Documents Served) (form POS-040(D)), and attach it to form POS-040.
5. Provide the names, addresses, and other applicable information about the persons served. If more than one person
was served, check the box on item 5, complete the Attachment to Proof of Service—Civil (Persons Served) (form
POS-040(P)), and attach it to form POS-040.
6. Check the box before the method of service that was used, and provide any additional information that is required.
The law may require that documents be served in a particular manner (such as by personal delivery) for certain
purposes. Service by fax generally requires the prior agreement of the parties.

You must sign and date the proof of service form. By signing, you are stating under penalty of perjury that the
information that you have provided on form POS-040 is true and correct.

POS-040 [Rev.January 1, 2020]

PROOF OF SERVICE—CIVIL Page 3 of 3

(Proof of Service)
For your protection and privacy, please press the Clear
This Form button after you have printed the form. Print this form Save this form Clear this form