Substitute Service Affidavit

I, , of , being duly sworn, depose and state as follows:

1. I am over the age of eighteen (18) years and not a party to this action.
2. On at , I attempted to serve the following documents:
3. The person to be served is:
4. Reason service could not be effected personally:
5. On , I instead served the documents by delivering a copy to:
   at the address:
6. The relationship of this individual to the person to be served is:
7. Additional details: