Form 6b Affidavit Of Service Page 2
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3Form 6B:
Affidavit of Service
(page 2)
Court File Number
sworn/affirmed
3. I carried out special service of the document(s) on the person named in paragraph 1 at
(place or address)
leaving a copy with the person.
by:
leaving a copy with
(name)
who is a lawyer who accepted service in writing on a copy of the document.
Check one
box only.
who is the person’s lawyer of record.
Strike out
paragraphs 4
who is the
(office or position)
to 10 and go
of the corporation named in paragraph 1.
to paragraph
11.
mailing a copy to the person together with a prepaid return postcard in Form 6 in an envelope bearing the
sender’s return address. This postcard, in which receipt of the document(s) is acknowledged, was returned and
is attached to this affidavit.
leaving a copy in a sealed envelope addressed to the person at the person’s place of residence with
(name)
who provided me with identification to show that he/she was an adult person residing at the same address and
by mailing another copy of the same document(s) on the same or following day to the person named in
paragraph 1 at that place of residence.
other
(Specify. See rule 6 for details.)
4. I mailed the document(s) to be served by addressing the covering envelope to the person named in paragraph 1 at:
(Set out address.)
of the person’s place of business.
which is the address
of a lawyer who accepted service on the person’s behalf.
of the person’s lawyer of record.
Check appropriate
paragraph and strike
of the person’s home.
out paragraphs 3, 5, 6,
7, 8, 9 and 10.
on the document most recently filed in court by the person.
other
(Specify.)
5. The document(s) to be served was/were placed in an envelope that was picked up at
on
a.m./p.m.
by
(date)
(name of courier service)
a private courier service, a copy of whose receipt is attached to this affidavit. The envelope was addressed to the person
named in paragraph 1 at:
(Set out address.)
of the person’s place of business.
which is the address
of a lawyer who accepted service on the person’s behalf.
of the person’s lawyer of record.
Check appropriate
paragraph and strike
of the person’s home.
out paragraphs 3, 4, 6,
7, 8, 9 and 10.
on the document most recently filed in court by the person.
other
(Specify.)
FLR-6B-E (2016/04)
Page 2 of 3
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