Santa Ana Blvd., Santa Ana, CA 92701-4512  Harbor-Newport Beach Facility- 4601 Jamboree Rd., Newport Beach, CA 92660-2595  Lamoreaux - 341 The City Drive, Orange, CA 92868-3205  North - 1275 N. Berkeley Ave., P. O. Box 5000, Fullerton, CA 92838-0500  West – 8141 th Street, Westminster, CA 92683-4593 PLAINTIFF: DEFENDANT: CASE NUMBER: CERTIFICATE OF DUE DILIGENCE Case assigned to: Judge: Department: Date complaint filed: Hearing/trial date: I certify that I am and was on the dates herein mentioned, over the age of 18 years and not a party to the action.

After due and diligent effort, I have been unable to effect personal service on the within-named defendant(s): due to the following reasons: (If additional space is needed, attach separate page(

s) and indicate the number of pages attached.) Residence Address Date and Time Service Attempted Reason for Non-Service Business Address Date and Time Service Attempted Reason for Non-Service 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 OF DECLARANT) CERTIFICATE OF DUE DILIGENCE Approved for Optional Use L849 (Rev. July 1, 2013) DC105 For your protection and privacy, please press the Clear This Form button after you are done printing this form.