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Affidavit for Service

_______________________,Plantiff____ on oath states that this cause of action meets the requirements of service and also states that all required attempts have been made to locate and contact and personally serve defendants

AKA ,Defendant _______________________________________________________________________

Upon due inquiry, defendants place of residence (check of ONE of the following)

o is belived to be at :

_________________________________

_________________________________

_________________________________

_________________________________

o cannot be ascertained and last know place of residence is belived to be at:

__________________________________

__________________________________

__________________________________

__________________________________

The defendant above named was mailed a copy of the pending action ____________________________________as evidenced by the copy attached here. The Defendant not responding in a timely manner defaulted and pending action ensued.

_________________________________________X
Signature, Plantiff

 Call 1-800-297-9102 with any questions

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OFFICIAL NOTARY USE ONLY DO NOT WRITE BELOW THIS LINE
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Suscribed and sworn to before me this______ day of ____________, 20_____

NOTARY SIGNATURE_________________________________

NOTARY NAME(PRINT) __________________________

My commission expires ______________________ NOTARY PUBLIC SEAL