American LegalNet, Inc. www.FormsWorkFlow.com I certify that I served this summons on defendants as follows: (a)-(Individual defendants -personal): By leaving a copy of the summons and a copy of the complaint with each individual defendant personally as follows: Name of defendant Date of service (b) -(Individual defendants -abode): By leaving a copy of the summons and a copy of the complaint at the usual place of abode of each individual defendant with a person of his family, of the age of 13 years or upwards, informing that person of the contents of the summons, and also by sending a copy of the summons and of the complaint in a sealed envelope with postage fully prepaid, addressed to each individual defendant at his usual place of abode, as follows: Name of Person with Date of Date of defendant whom left service mailing (c) -Corporation defendants): By leaving a copy of the summons and a copy of the complaint with the registered agent office, or agent of each defendant corporation as follows: Registered agent, Date of Defendant corporation officer or agent service (d) -(Other service): SHERIFF'S FEES , Sheriff of County Service and return $ , Deputy Miles ...........$ Total .......................$ Sheriff of County American LegalNet, Inc. www.FormsWorkFlow.com