Return Of Service Affidavit

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IN THE SUPERIOR COURT FOR THE STATE OF ALASKA
AT
City or Town Where Court Is Located
)
Plaintiff,
)
)
vs.
)
)
)
Defendant.
)
)
Your Case No.
RETURN OF SERVICE AFFIDAVIT
I certify that on
, I served the following documents:
(Date)
Summons
Standing Order
Complaint
Child Custody Jurisdiction Affidavit
Child Support Affidavit
Property & Debt Worksheet
Other:
upon
___
(Name of Person served)
at this location
(Address)
by handing or leaving a true and correct copy with
,
(Name of Person who received papers)
a person of suitable age and discretion living at the defendant’s usual place of
residence.
______________________________________
Notarized Signature of Process Server or Police
Print Name of Process Server or Police
Officer or Prison Shift Captain
Officer or Prison Shift Captain
_________________________________________
______________________________________
Print Name of Process Server Business or Police
Print Address of Process Server Business or
Station or Prison Facility
Police Station or Prison Facility
Subscribed and sworn to or affirmed before me at
,
on
.
Name of City, Town or Village
Date
Notary Public or other person authorized to administer oaths.
My commission expires on
Return of Service Affidavit
SHC-193 (02/10)
Page 1 of 1

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