Affidavit of Service
Court Name:
Case Number:
Plaintiff:
Defendant:
Service Details
Name of Person Served:
Date of Service:
Time of Service:
Place of Service:
Documents Served:
Method of Service:
I,
, declare under penalty of perjury that the foregoing is true and correct.
Date Signed:
City/County:
___________________________
Signature of Server
Printed Name of Server:
Address:
Phone: