Request For Alternative Service Form (Page 2 of 2) in pdf

Request For Alternative Service Form Page 2

DECLARATION OF OFFICER

Name: _______________________________________________________________________________________

I am an employee of the the following governmental agency: ___________________________________________.

I am making this declaration as part of my assigned duties and responsibilities. I declare under penalty of perjury

that the information provided in the foregoing Request is true and correct.

Executed on _______________, in ______________ County, Texas, on _______________________________.

_____________________________________________, Declarant

DECLARATION (of Certified Process Server or Other Person Authorized by the Court)

Name: _______________________________________________________________________________________

Address: _____________________________________________________________________________________

City: ___________________ State: __________ Zip Code: __________ Date of Birth: _____________________

Identification Number: ________________ Date: _________________ Expiration: ________________________

I declare under penalty of perjury that the information provided in the foregoing Request is true and correct.

Executed on _______________, in ______________ County, Texas, on _______________________________.

_____________________________________________, Declarant

Request For Alternative Service Form Page 2