Affidavit of Service Form

Affidavit of Service Form

Introduction

I, [Your Name], residing at Severn, MD 21144, do hereby affirm and state under oath that the following facts are true and correct to the best of my knowledge and belief.

Parties Involved

  • Affiant: [Your Name]

  • Recipient: Sonya Johnston

Details of Service

On January 1, 2060, at approximately 10 AM, I personally served the following documents:

  • Document 1: Summons for Civil Action

  • Document 2: Complaint for Breach of Contract

  • Document 3: Request for Production of Documents

The documents were served to Sonya Johnston at the address: Severn, MD 21144.

Method of Service

The documents were delivered in the following manner:

  • Left at the recipient's residence with a person of suitable age and discretion.

Acknowledgment of Service

The recipient, Sonya Johnston, acknowledged receipt of the documents by signing a receipt.

Affirmation

I, [Your Name], declare under penalty of perjury under the laws of Maryland that the foregoing is true and correct.

Signature

[Your Name]

Date: January 10, 2060

Notary Public

Subscribed and sworn to before me, a Notary Public, on this 10th day of January 2060, by [Your Name], who is personally known to me or has produced a personal government ID as identification.

Notary Public

My Commission Expires: _____________

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