Proof Of Service

STATE OF MICHIGAN 6th JUDICIAL CIRCUIT COUNTY OF OAKLAND PROOF OF SERVICE CASE NO. 1200 N. TELEGRAPH RD, PONTIAC, MI 48341 1. I SERVED A COPY OF (248) 858-0584 Petition for Personal Protection Order/Stalking Verified Statement Notice of Hearing Personal Protection Order/Personal Protection Order Stalking Motion and Order to Show Cause for Violation of a Personal Protection Order Motion to Dissolve/Modify/Extend Personal Protection Order Petition/Order Appoint Next Friend Order Modifying/Dissolving/Extend Personal Protection Order Order Deny/Dismiss Personal Protection Order Other 2. NAME OF PERSON SERVED COMPLETE ADDRESS WHERE PERSON WAS SERVED DAY, DATE, TIME 3. by personal service or registered mail, restricted delivery (copy of return receipt attached): or Respondent was verbally notified by law enforcement officer clerk of the court of: ithe existence of the Personal Protection Order, ithe conduct prohibited by the Personal Protection Order, ithe penalties for violating the Personal Protection Order and iwhere the respondent can obtain a copy of the Personal Protection Order. 4. a. Being 1st duly sworn, I am: A legally competent adult who is not a party or an officer of a corporate party: PLEASE HAVE FORM NOTARIZED or b. I am: A sheriff, deputy sheriff, bailiff, appointed court officer, or attorney for a party [MCR2.104(A)(2)], SIGNATURE OF PERSON COMPLETING SERVICE Subscribed and sworn to before me on , County, Michigan Date My commission expires: Signature: Date Notary Public Notary public, State of Michigan, County of COMPLETE ONLY IF YOU CAN’T FIND THE PERSON After diligent search and inquiry, I have been unable to find and serve the respondent/petitioner. I have made the following efforts in attempting to serve process: ACKNOWLEDGMENT OF SERVICE I acknowledge that I received a copy of the documents checked off in Number 1 (above): Day, date, time Signature Ppo-pro 1 (7/22/04) Print full name American LegalNet, Inc. www.FormsWorkflow.com