Affidavit Of Mailing Form printable pdf download

Affidavit Of Mailing Form

AFFIDAVIT OF MAILING

STATE OF ____________________

COUNTY OF ____________________

KNOW ALL MEN BY THESE PRESENTS, that on this day, before me, a Notary Public, personally came

and appeared ___________________________________, as Affiant, who after being first duly sworn,

upon oath stated:

My name is ____________________. I am over the age of eighteen years. I have personal

knowledge of the facts stated below.

On ___________________ (insert date), I mailed [the original / a true copy of]

[describe document(s) mailed],

________________________________________________________________________

I mailed the document(s) to the person(s) named below by enclosing the same in an envelope,

postage prepaid, certified mail, with return receipt requested, and depositing it in a post office or

an official depository under the care and custody of the United States Postal Service

The person(s) and their respective, addresses are as follows:

Recipient Name

Recipient address

Recipient City, State Zip

Certified mail return receipt number _______________

On the date(s) below, I received a return receipt/delivery confirmation from the United States

Postal Service, as evidence that the above identified envelope(s) had been delivered as follows:

Certified mail return receipt number _______________ , delivered on date _____________

I have [retained/attached] [the original / a true copy] of the document(s) mailed.

Signature of Affiant

SUBSCRIBED AND SWORN TO, OR AFFIRMED, before me on this _____ day of ______________,

_______ by ______________________________.

(SEAL)

Notary Public

My Commission expires: ______

Affidavit Of Mailing Form