Affidavit of Attempted Service

Court/Case Name: Case Number:

Plaintiff(s): Defendant(s):

Server Information

Name of Server: Address: Phone Number:

Attempted Service Details

Person to be Served: Address of Attempt: Date(s) & Time(s) of Attempt(s): Description of Attempt(s): Reason Service Not Completed:

Declaration

I, the undersigned, affirm that the information above is true and correct to the best of my knowledge.

Signature Date