Approved, SCAO STATE OF MICHIGAN CASE NO. JUDICIAL DISTRICT AFFIDAVIT OF INCORRECT ADDRESS JUDICIAL CIRCUIT Court address Court telephone no. Defendant THE PEOPLE OF v I, , have personally attempted to serve: Name on Name at Address and have been unable to complete service because the address was incorrect at the time of filing. Date Signature Subscribed and sworn to before me on , County, Michigan. Date My commission expires: Signature: Date Notary public/Deputy court clerk DC 215 (9/82) AFFIDAVIT OF INCORRECT ADDRESS