Affidavit of Substitute Service

Introduction

I, [YOUR NAME], being duly sworn, depose and state as follows:

Statement of Facts

I am over the age of eighteen (18) and not a party to the action entitled [CASE NAME], currently pending in the [COURT NAME], [COURT LOCATION], Case Number [CASE NUMBER]. I make this affidavit based on my personal knowledge.

Substitute Service

1. On [DATE OF SUBSTITUTE SERVICE], I served the Summons and Complaint (or other relevant documents) upon the Defendant, [DEFENDANT'S NAME], at [DEFENDANT'S ADDRESS]. I was unable to effectuate personal service because [REASON].

2. On [DATE OF SUBSTITUTE SERVICE], I served the above-mentioned documents by leaving a copy at the Defendant's address with [NAME OF PERSON], who identified themselves as a resident of the Defendant's household of suitable age and discretion.

3. Attached to this affidavit as Exhibit A is a true and correct copy of the document served and a description of the manner of service.

Sworn Oath

I declare under penalty of perjury under the laws of the State of [STATE] that the foregoing is true and correct.

Executed on [DATE], at [LOCATION].

[YOUR NAME]

Notarization

State of [STATE]
County of [COUNTY]

Subscribed and sworn to before me on this [DATE].

Notary Public
My Commission Expires: [EXPIRATION DATE]

[NOTARY SEAL]

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