Acknowledgment Of Service

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IN THE SUPERIOR COURT OF
COUNTY
STATE OF GEORGIA
FAMILY DIVISION
Petitioner: _______________________ ,
and
Civil Action
File No.
Respondent: _________________ .
ACKNOWLEDGMENT OF SERVICE
The undersigned Respondent hereby acknowledges service of the above
Petition for
, and states that
(s)he has received a copy of said Petition, and Respondent hereby waives any and all
further notice, service, and issuance of process.
This
day of
,
.
Respondent=s Signature
(Sign in front of the Notary)
Respondent=s Name (Print):
Address:
Telephone Number:
Sworn and subscribed before me, this
day of
, ________.
NOTARY PUBLIC
My commission expires:

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