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
Name of Person Who Accepted Service (SubName):
Service attempt 1 Date
Service attempt 1 time
Service attempt 2 Date
Service attempt 2 time
Service attempt 3 date
Service attempt 3 time
Service attempt 4 Date
Service attempt 4 time
Service attempt 5 Date
Service attempt 5 time
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