Form B 250b - Summons And Notice Of Pretrial Conference In An Adversary Proceeding (Page 2 of 2) in pdf

Form B 250b - Summons And Notice Of Pretrial Conference In An Adversary Proceeding Page 2

CERTIFICATE OF SERVICE

(name), certify that service of this summons and a copy of

the complaint was made

(date) by:

Mail service: Regular, first class United States mail, postage fully pre-paid, addressed

to:

Personal Service: By leaving the process with the defendant or with an officer or agent

of defendant at:

Residence Service: By leaving the process with the following adult at:

Certified Mail Service on an Insured Depository Institution: By sending the process by

certified mail addressed to the following officer of the defendant at:

Publication: The defendant was served as follows: [Describe briefly]

State Law: The defendant was served pursuant to the laws of the State of

, as

follows: [Describe briefly]

If service was made by personal service, by residence service, or pursuant to state law, I further

certify that I am, and at all times during the service of process was, not less than 18 years of age and

not a party to the matter concerning which service of process was made.

Under penalty of perjury, I declare that the foregoing is true and correct.

Date

Signature

Print Name :

Business Address:

Form B 250b - Summons And Notice Of Pretrial Conference In An Adversary Proceeding Page 2