Affidavit of Service of Summons

Court Details

Court Name:

Case Number:

Plaintiff:

Defendant:

Service Details

Name of Server:

Address of Server:

Date of Service:

Time of Service:

Place of Service:

Name of Person Served:

Relationship to Case:

Description of Documents Served

Method of Service

Affirmation

I, , affirm that I served the above mentioned documents as described.

Date:

Signature: