Ohio Affidavit And Order

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APPENDIX L (L.R. 3.03)
IN THE COURT OF COMMON PLEAS
BUTLER COUNTY, OHIO
IN RE:
THE APPOINTMENT OF
:
STANDING SPECIAL
:
AFFIDAVIT AND ORDER
PROCESS SERVER
:
I, _______________________________, being first duly sworn and cautioned
according to law, state that:
1.
I reside at _______________________________________________________.
My telephone number is ____________________________________________.
2.
I am eighteen (18) years of age or older.
3.
I will not attempt to serve process in any case in which I am a party, counsel for a
party, or a relative of any party.
4.
I do not have a felony criminal record.
5.
I will follow all applicable Local Rules and Ohio Rules of Civil Procedure. I will
also obey any specific instructions for service of process as ordered by the Court
in individual cases, including: If a pleading is left with a responsible party who is
more than sixteen (16) years of age, then return is as “residential service” and if
the pleading is left with the individual to be served, then the return is as
“personal service.”
6.
I am going to be acting as an agent of _________________________________.
__________________________________
Applicant
Sworn to before me and subscribed in my presence this ____________ day of
_________________________, 20___.
__________________________________
Notary Public
Appendix
Page 16

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