YOUR NAME
Street Address
City, State, ZIP
Phone Number (with area code)

YOUR NAME, IN PRO PER

SUPERIOR COURT OF THE STATE OF CALIFORNIA
FOR THE COUNTY OF SACRAMENTO

In the Matter of 
YOUR NAME,
 Petitioner,

vs.

NAME OF LIEN CLAIMAINT,
 Respondent.	)
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PROOF OF SERVICE OF PETITION FOR RELEASE OF PROPERTY FROM LIEN BY MAIL

Date: Hearing Date______
Time: Hearing Time____
Dept: Hearing Department________
Judge: Hearing Judge
Date Action Filed: Date petition was filed	
 
Server's Name declares:
I am over age 18, not a party to this action, and reside in County County at Server's Street, City, State, Zip. On Date of Mailing, I deposited in the United States mail at City, California a copy of the following documents: 
Petition for Release of Mechanics’ Lien
Notice of Hearing
[Proposed] Decree Releasing Lien
Civil Case Cover Sheet
in a sealed envelope, with postage fully prepaid, return receipt requested, addressed to:
Names and addresses of all parties served
  
A copy of the certificate of mailing is attached to this declaration as Exhibit A.

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

Dated: __________________
By: _____________________________
Signature

Server's Name