Rule 17.100--Form 106: Directions for Service of Original Notice Petitioner must complete this form if the sheriff or a process server will deliver the Petition and Original Notice to Respondent. Do not use this form if Respondent has already received the Petition and Original Notice. Do not file this form with the clerk of court in paper or electronically. Give this form to the sheriff or other process server with your Petition (101) and Original Notice (104 if electronically filing or 104a if filing in paper). If you do not understand how to use this form, or if you should use this form, talk to an attorney. County where Petition is filed Equity case number 1. Name and Location of Sheriff or Other Process Server Check one and fill in the blanks A. Sheriff In county where Respondent will be served County Street address B. City State ZIP code Other process server Name of other person serving the Notice Street address City State ZIP code 2. Person to be Served ( Your spouse's name ) Phone number Address where your spouse can be served City State ZIP code 3. Person Requesting Service ( Your name ) Phone number Your present mailing address City State ZIP code 4. Special Instructions for Service Provide information that will help the sheriff or process server. Continued on next page November 2013 Rule 17.100--Form 106 Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Rule 17.100--Form 106: Directions for Service of Original Notice, continued 5. Costs of Service Check one A. B. Petitioner will pay the costs of the Sheriff or other process server. If you cannot afford the costs, file form 109. Costs for Sheriff deferred by court order: Clerk of court: Sign only if costs deferred by court order 6. Notification After completion of service, the sheriff or other process server will notify the person requesting service. , 20 Date signed: Month Day Year Your signature November 2013 Rule 17.100--Form 106 Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com