Affidavit of Process Server

Name of Court
Plaintiff/Petitioner
Defendant/Respondent
Case Number
Recipient Name
Address
Documents

Manner of Service

Personal Service Substituted at Residence Substituted at Business Posting Non-Service Unknown at address Moved left no forwarding Service canceled by litigant Unable to serve in a timely fashion Address does not exist Other

Service attempt 1 Date Service attempt 1 time
Service attempt 2 Date Service attempt 2 time
Service attempt3 date Service attempt 3 time
Service attempt number 4 Service attempt 4 time
Service attempt5 Date Service attempt 5 time
Comments
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