Acknowledgment Of Service By Defendant Page 2

[

] I am in the uniformed services as defined by the Servicemembers Civil Relief Act of 2003.

I understand and waive my rights under the Act.

[

] I submit to the jurisdiction of this court, decline to plead, waive hearing, and agree that a

final decree be entered.

DATE:

, 20___.

___________________________________

Defendant

STATE OF ______________)

) ss.

County of

)

On this __________ day of ________________, 20____, before me, the undersigned, a

Notary Public in and for the State, personally appeared _______________________________,

known or identified to me to be the person whose name is subscribed to the foregoing

instrument as the Defendant and acknowledged to me that s/he executed the same.

IN WITNESS WHEREOF, I have hereunto set my hand and seal on the date last above

written.

NOTARY PUBLIC

Residing at

My Commission Expires:

ACKNOWLEDGEMENT OF SERVICE

PAGE 2

BY DEFENDANT

CAO 2-1A Revised 2/25/2005

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Parent category: Legal