Recipient signed this acknowledgment on specify date TYPE OR PRINT NAME OF PERSON ACKNOWLEDGING RECEIPT SIGNATURE OF PERSON ACKNOWLEDGING RECEIPT Page 1 of 1 Form Approved for Optional Use Judicial Council of California FL-117 Rev. January 1 2015 For your protection and privacy please press the Clear This Form button after you have printed the form. Family Law Print this form Save this form Code of Civil Procedure 415. FL-117 ATTORNEY OR PARTY WITHOUT ATTORNEY Name State Bar number and address TELEPHONE NO. FOR COURT USE ONLY FAX NO. E-MAIL ADDRESS ATTORNEY FOR Name SUPERIOR COURT OF CALIFORNIA COUNTY OF STREET ADDRESS CITY AND ZIP CODE BRANCH NAME PETITIONER RESPONDENT CASE NUMBER NOTICE AND ACKNOWLEDGMENT OF RECEIPT Sender completes items 1 through 4 and signs before mailing. Recipient completes items 5 and 6 signs then returns To name of individual being served NOTICE The documents identified below are being served on you by mail with this acknowledgment form. You must personally si....