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West Virginia Acceptance of Service Form

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West Virginia Acceptance of Service Form
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ACCEPTANCE OF SERVICE
I hereby accept service of the Summons and a copy of the Petition in the
case styled, ___________________________ and ___________________________,
Civil Action No. ________________this _____ day of ____________, 20______.
This Acceptance of Service shall have the same force and effect as if
personally served upon me in _______________________ County, West Virginia, by
the Sheriff of said County.
Respondent
Address
Phone
Taken, sworn to and subscribed before me this _____ day of ______________
______________, 20_____.
My Commission expires ____________________________________________.
Notary Public or Deputy Circuit Clerk
SCA-F-105 (Revised 12/01) ACCEPTANCE OF SERVICE FORM
West Virginia Acceptance of Service Form