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Delaware Affidavit of Service Form

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Delaware Affidavit of Service Form
Delaware Affidavit of Service Form
J.P. Civ. Form No. 31A (10/31/2008) Doc. No. 02-13-06-05-01
IN THE JUSTICE OF THE PEACE COURT OF
THE STATE OF DELAWARE, IN AND FOR ___________ COUNTY
COURT NO. __
COURT ADDRESS:
__________________ CIVIL ACTION NO. ___________________
__________________
PLAINTIFF(S): VS DEFENDANT(S):
___________________________ ____________________________
___________________________ ____________________________
___________________________ ____________________________
System ID#: _________________ System ID#: __________________
AFFIDAVIT OF SERVICE
1) I am _____________(your name)___________________, the plaintiff or person duly authorized
to act for the plaintiff in this case.
2) The defendant, __(name of non-resident defendant)____ is a non-resident of the State of Delaware
who, on information and belief, resides at _ __(non-resident defendant’s address)________________.
3) On _______(date)_______ I mailed to defendant by return receipt mail a copy of the summons
and complaint. I also included J. P. Civil Form No. 7 (Answer) and any additional materials originally
filed with the Court. The form of mail service I used was (CIRCLE ONE) CERTIFIED / REGISTERED.
4) On _______(date)________ I received the return receipt from the Post Office and that receipt was
returned marked (CIRCLE ONE) RECEIVED / REFUSED / UNCLAIMED.
5) If returned “received” or “refused” the return receipt from the Post Office is attached to this
affidavit. If returned “unclaimed” from the Post Office, the envelope is attached to this affidavit.
6) Further (only if the return receipt was returned “unclaimed”) I have sent a second mailing to the
defendant at the address above on _______(date)_________via first class mail with a certificate of service
from the Post Office. The certificate of mailing is attached.
I swear that the foregoing statements are true and correct to the best of my knowledge and belief.
DATE:________________ _________________________
Signature of plaintiff(s)
SWORN TO AND SUBSCRIBED before me the day and year aforesaid.
__________________________
Notary Public
Delaware Affidavit of Service Form