County Court District Court __________________ County, Colorado Court Address: _________________________________________ _________________________________________ Plaintiff(s): v. Defendant(s): COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Case Number: Phone Number:__________ E-mail:_________________________ FAX Number:___________ Atty. Reg. #:______________________ Division ______ Courtroom ______ AFFIDAVIT OF SERVICE I declare under oath that I am 18 years or older and not a party to the action and that I served _____________________________________________________ (identify title of documents) on the Defendant in __________________________ (name of County/State) on ___________________ (date) at ________ (time) . at the following location: By handing the documents to a person identified to me as the Defendant: name of person served). (print By identifying the documents, offering to deliver them to a person identified to me as the Defendant who refused service, and then leaving the documents in a conspicuous place. By leaving the documents at the Defendant’s usual place of abode with ________________________ (Name of Person) who is a member of the Defendant’s family and whose age is 18 years or older. (Identify family .) relationship) By leaving the documents at the Defendant’s usual workplace with _____________________________ (Name of Person) who is the Defendant’s secretary, administrative assistant, bookkeeper, or managing agent. (Circle title of person served.) By leaving the documents with ___________________________________ (Name of Person), who as __________________________ (title) is authorized by appointment or by law to receive service of process for the Defendant. By serving the documents as follows (other service permitted by C.R.C.P 4(g) or C.R.C.P. 304(c)(d) and (e): ______________________________________________________________________________________. For Eviction Cases Only. I have made diligent efforts such as ______________________________________________________ (list personal service attempts) but have been unable to make personal service on the Defendant(s) and I have made service of the within summons and complaint by posting a copy of them in a conspicuous place upon the premises described therein. I have charged the following fees for my services in this matter: Private process server Sheriff, _________________________County Fee $ ____________ Mileage $ __________ ______________________________________ Signature of Process Server ______________________________________ Name (Print or type) Subscribed and affirmed, or sworn to before me in the County of ______________________, State of _______________, this ___________ day of _______________, 20 _______. My Commission Expires: ________________________ ___________________________________________ Notary Public JDF 98 R9/10 AFFIDAVIT OF SERVICE American LegalNet, Inc. www.FormsWorkFlow.com