Indiana Affidavit of Service

State of Indiana

County of [County Name]

I, [Your Name], being duly sworn, depose and say:

Statement of Facts

1. I am over the age of 18 years and not a party to the action entitled [Case Name], pending in the [Court Name], [Court Location], Indiana.

2. On [Date], I served the documents described as [Type of Document] upon the following parties: [Recipient's Name] at [Recipient's Address].

3. Service was effectuated by [Method of Service].

4. The individual/s served were properly identified as the intended recipients of the documents.

5. I am familiar with the contents of the documents served, which include [Brief Description of Contents].

6. The service was completed within the jurisdictional requirements set forth by the laws of Indiana.

7. I have not received any refusal of service or indication that the served parties were unwilling to accept the documents.

8. Attached hereto as Exhibit A is proof of service.

Sworn Oath

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

Signature

[Your Name]
Affiant

Subscribed and sworn to before me this [Day] day of [Month], [Year].

[Notary Public's Name]

Notary Public in and for the State of Indiana

My Commission Expires: [Expiry Date]

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