IN THE JUSTICE OF THE PEACE COURT OF THE STATE OF DELAWARE, IN AND FOR ___________ COUNTY COURT NO. __ COURT ADDRESS: __________________ __________________ PLAINTIFF(S): ___________________________ ___________________________ ___________________________ System ID#: _________________ CIVIL ACTION NO. ___________________ VS DEFENDANT(S): ____________________________ ____________________________ ____________________________ System ID#: __________________ AFFIDAVIT OF SERVICE 1) I am _____________(your name)___________________, the plaintiff or person duly authorized to act for the plaintiff in this case. 2) The defendant, __(name of non-resident defendant)____ is a non-resident of the State of Delaware who, on information and belief, resides at _ __(non-resident defendant’s address)________________. 3) On _______(date)_______ I mailed to defendant by return receipt mail a copy of the summons and complaint. I also included J. P. Civil Form No. 7 (Answer) and any additional materials originally filed with the Court. The form of mail service I used was (CIRCLE ONE) CERTIFIED / REGISTERED. 4) On _______(date)________ I received the return receipt from the Post Office and that receipt was returned marked (CIRCLE ONE) RECEIVED / REFUSED / UNCLAIMED. 5) If returned “received” or “refused” the return receipt from the Post Office is attached to this affidavit. If returned “unclaimed” from the Post Office, the envelope is attached to this affidavit. 6) Further (only if the return receipt was returned “unclaimed”) I have sent a second mailing to the defendant at the address above on _______(date)_________via first class mail with a certificate of service from the Post Office. The certificate of mailing is attached. I swear that the foregoing statements are true and correct to the best of my knowledge and belief. DATE:________________ _________________________ Signature of plaintiff(s) SWORN TO AND SUBSCRIBED before me the day and year aforesaid. __________________________ Notary Public J.P. Civ. Form No. 31A (10/31/2008) Doc. No. 02-13-06-05-01 American LegalNet, Inc. www.FormsWorkflow.com