Affidavit Of Service Page 2

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5.
Deponent describes the individual served as follows:
Sex
Height
Weight
Age
Color of Skin
Color of Hair
Male
Under 5’
Under 100 Lbs.
14-17 Yrs.
Describe color:
Black
Female
5’0”-5’3”
100-130 Lbs.
18-20 Yrs.
____________
Brown
5’4”-5’8”
131-160 Lbs.
21-35 Yrs.
____________
Blond
5’9”-6’0”
161-200 Lbs.
36-50 Yrs.
____________
Gray
Over 6'
Over 200 Lbs.
51-65 Yrs.
____________
Red
Over 65 Yrs.
White
Balding
Bald
Other identifying features, if any:___________________________________________________.
6a.
At the time I served the Defendant, I asked him/her if he/she was in the military service of this
10
state, any other state, or this nation, and the Defendant responded in the negative.
6b.
The Defendant stated that he/she is in the following military service
.
6c.
The Defendant refused to answer.
______________________________
11
Server’s Signature
Subscribed and Sworn to
before me on
NOTARY PUBLIC
(Form UD-3 - Rev. 9/11)

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