IN THE SUPERIOR COURT OF
STATE OF GEORGIA
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.
(Check the box below if you are not a resident of Georgia.)
“ “ WAIVER OF JURISDICTION C C RESPONDENT= = S AFFIDAVIT
am the named respondent in the above-styled case, which is a
. After being duly sworn, I state the following:
I am a resident of
County in the State of _____________________,
and that Petitioner is a resident of
County, Georgia. My address is
I have been informed that I have a constitutional right to a trial by judge or jury in the
state of my residence, and that I expressly waive my right to jurisdiction in the state of
my residence, and consent to jurisdiction in the State of Georgia,
This________ day of ______________________, _________.
(Sign in front of the Notary)
Sworn to and signed before me, this
______day of _________________, ________.
My commission expires: