Military Service Declaration Form Page 3
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1
2
3Certificate of Service
I certify that I served a copy of this Military Service Declaration on the following people.
Served at this
Served on
Person’s Name
Method of Service
Address
this Date
Mail
Hand Delivery
Fax
(Person agreed to service by fax.)
Email
(Person agreed to service by email.)
Left at business
(With person in charge
or in receptacle for deliveries.)
(Any Party not in Default
Left at home
(With person of suitable age
or Attorney)
and discretion residing there.)
Mail
Hand Delivery
(Clerk of Court)
Electronic File
Mail
Hand Delivery
Fax
(Person agreed to service by fax.)
Email
(Person agreed to service by email.)
Left at business
(With person in charge
or in receptacle for deliveries.)
Left at home
(With person of suitable age
and discretion residing there.)
Mail
Hand Delivery
Fax
(Person agreed to service by fax.)
Email
(Person agreed to service by email.)
Left at business
(With person in charge
or in receptacle for deliveries.)
Left at home
(With person of suitable age
and discretion residing there.)
Sign here ►
Date
Typed or Printed Name
Military Service Declaration
Approved Board of District Court Judges January 22, 2010
Page 3 of 3
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