Limited Civil And Small Claims Garnishment Procedures Page 6

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RETURN ON SERVICE OF GARNISHMENT ORDER
I hereby certify that I have served this garnishment order in the following manner:
(1) Personal Service. By delivering a copy of the garnishment order along with two copies of the answer form to each of the
following persons on the dates indicated:
___________________ _______________, ______
___________________ _______________, ______
(Name)
(Date)
(2) Agent Service. By delivering a copy of the garnishment order along with two copies of the answer form to each of the
following agents authorized by appointment or by law to receive service of process on the dates indicated:
____________________ _______________, ______
____________________ _______________, ______
(Name)
(Date)
(3) Service by Return Receipt Delivery. By causing to be delivered on the _____ day of _______________, ______, a copy of
the garnishment order along with two copies of the answer form by return receipt delivery to each of the following persons at the
following address:_______________________________________________________________________
________________________________________________________________________________________________________
_____________________________________________________
with such delivery made by the following person or entity: _______________________________.
Attached hereto is a copy of the return receipt evidencing such delivery.
(4) Return Receipt Delivery Refused. By mailing on the _____ day of _______________, _____, a copy of the garnishment
order along with two copies of the answer form to each of the following persons at the following
address:_______________________________________________________
________________________________________________________________________________________________________
______________________________________________________
(5) Mail Service. By mailing on the _____ day of _______________, ______, a copy of the garnishment order, along with two
copies of the answer form, by first class mail to each of the following persons at the following
addresses:________________________________________
________________________________________________________________________________________________________
_____________________________________________________
(6) Telefacsimile communication. By faxing on the _____ day of _______________, _____, at ____ o’clock _.m., a copy of the
garnishment order, along with two copies of the answer form, to the following
persons:________________________________________________________________
Number of transmitting machine: _____________________
Number of receiving machine: ______________________
(7) Internet electronic mail. By e-mailing on the _____ day of _______________, _____, at ____ o’clock _.m., a copy of the
garnishment order, along with a copy of the answer form, to the following persons at the following e-mail
addresses:________________________________________________
________________________________________________________________________________________________________
______________________________________________________
Transmitting person’s e-mail address: __________________________
(8) No Service. The following persons were not served:
_________________________________________________________________________________
Pursuant to K.S.A. 53-601, as amended, I declare under the penalty of perjury that the foregoing is true and correct.
EXECUTED on __________________, ______.
_______________________________
Signature, Sheriff or Process Server

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