Proof Of Service Of Affidavit And Summons

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My Name
Address
City, State, Zip
Phone
E-mail
I am the
Plaintiff
Attorney for the Plaintiff and my Utah Bar number is _________
In the Justice Court of Utah
__________ Judicial District ________________ County
Court Address ______________________________________________________
_____________________________________
Proof of Service of Affidavit and
Plaintiff
Summons
v.
Case Number ___________________
_____________________________________
Defendant
Judge _________________________
And
_____________________________________
Defendant
I certify that I served a copy of the Affidavit and Summons on the following defendants
by mail or commercial courier service that requires the defendant to sign a receipt and
provides for return of that receipt to me. The original document acknowledging receipt is
attached.
Date of
Name
Address
Method
Receipt
Mail
Commercial Courier
Mail
Commercial Courier
I have not included any non-public information in this document.
I declare under penalty of Utah Code Section 78B-5-705 that everything stated in this document is true
and correct.
Sign here ►
Date
Typed or printed name
Proof of Service of Affidavit and Summons
Approved Board of Justice Court Judges September 22, 2010
Page 1 of 1

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