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AFFIDAVIT OF SERVICE BY MAIL
Court: ________
Case/Cause No.: ________
Plaintiff(s)/Petitioner(s): ________
Defendant(s)/Respondent(s): ________
STATE OF ________
COUNTY OF ________
I, the undersigned affiant, being first duly sworn upon oath, depose and state as follows:
§ 1. Identity of Affiant. My full legal name is ________.
§ 2. Address of Affiant. My mailing address is:
________
§ 3. Age. I am over eighteen (18) years of age and competent to make this Affidavit.
§ 4. Non-Party. I am not a party to the above-captioned action.
§ 6. Service by Mail. On ________, I served, via ________ (with the type of mail and any return-receipt or tracking service indicated below), the party named ________, by depositing in the United States mail, postage fully prepaid, true and correct copies of the following documents:
________
________
________
§ 8. Tracking. The tracking, certified mail, or article number for such mailing is as follows: ________.
§ 9. Declaration. I declare under penalty of perjury under the laws of the State of ________ and the United States that the foregoing is true and correct to the best of my knowledge, information, and belief.
Date: ________
Signature of Affiant (Process Server): ________________________________________
Printed Name of Affiant: ________
Title/Registration No. (if applicable): ________
ACKNOWLEDGMENT / JURAT
STATE OF ________
COUNTY OF ________
Subscribed and sworn to (or affirmed) before me on this ________ day of ________, 20________, by ________, who is personally known to me or who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the foregoing instrument, and who acknowledged that he or she executed the same for the purposes therein contained.
WITNESS my hand and official seal.
(Notary Seal)
Notary Public Signature: _______________________________
Printed Name of Notary: ________
My commission expires: ________
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