Affidavit of Service
I, _________________________________, being duly sworn, deposes and states: That I served the
foregoing Notice and Petition on _____________________________ by personally delivering to him/her
a copy of said Notice and Petition in ____________________ County at the following address on the
_____ day of __________________, 20_____.
Address:
____________________________________________________________________
____________________________________________________________________
City
State
Zip
___________________________________
Signature
Subscribed and sworn to before me this _____ day of _________________, 20_____.
___________________________________
Notary Public/Court Clerk/Judge
AOC Form 30
Revised 8/05