Waiver Of Service Form

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NO. _________________________
PETITIONER:
IN THE DISTRICT COURT
JUDICIAL DISTRICT
DEFENDANT:
{COUNTY, STATE}
Waiver of Service
I,
, living at
,
swear and attest under pain of perjury that I am the Defendant in the aforementioned case and
that I have received a notice related to the following:
I hereby waive my rights to service and accept any and all documents received in reference to the
case. I agree to allow the court to proceed without my presence or objections I may have.
Signature
Date

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