Form 200.10 - Affidavit In Proof Of Service - Clermont County

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PROBATE COURT OF CLERMONT COUNTY, OHIO
JAMES A. SHRIVER, JUDGE
IN THE MATTER OF __________________________________________________
CASE NO. ________________________
AFFIDAVIT IN PROOF OF SERVICE
(Civ. R. 73(F))
STATE OF OHIO, COUNTY OF
, SS.
___________________________________, being first duly sworn, says that on the
_____ day of ___________________, ________ s/he served a copy of the attached
______________________________________________________________ upon
______________________________________________________________ by:
certified or express mail, or commercial carrier service: return receipt is attached.
ordinary mail on
, 20
: returned envelope showing
mail "refused" or "unclaimed" is attached.
personal service by
on
, 20
.
residence service by
on
, 20
.
ordinary mail on
, 20
as permitted by local rule,
court order or law.
___________________________________
Affiant
Sworn to before me and subscribed in my presence this ____ day of ____________,
________.
___________________________________
Notary Public/Deputy Clerk
FORM 200.10 – AFFIDAVIT IN PROOF OF SERVICE
06/01/2015

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