Proof Of Service Or Non Service
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Proof Of Service Or Non Service Form. This is a Michigan form and can be use in Juvenile Statewide.
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Tags: Proof Of Service Or Non Service, JC 12a, Michigan Statewide, Juvenile
JIS CODE: PSV
Approved, SCAO
STATE OF MICHIGAN
PROOF OF SERVICE/NONSERVICE
JUDICIAL CIRCUIT - FAMILY DIVISION
COUNTY
CASE NO.
PETITION NO.
USE NOTE: This form is not to be used for
proof of service of a summons or for publication
Court address
Court telephone no.
1. In the matter of
Date of hearing:
(name[s], alias[es], DOB)
2. I served
as follows:
(specify the titles of the papers served)
SERVICE BY MAIL
On
I served the above papers, copies of which are either attached or were
previously filed with the court, on the following person(s) by
their last known address(es).
ordinary
NAME
certified
registered
mail, addressed to
ADDRESS
I declare that this proof of service by mail has been examined by me and that its contents are true to the best of my information,
knowledge, and belief.
Date
Signature
PERSONAL SERVICE
Copies of the above papers were served personally by me on the following person(s):
NAME
PLACE OF SERVICE
DATE AND TIME
I declare that this proof of personal service has been examined by me and that its contents are true to the best of my information,
knowledge, and belief.
Date
Signature
NONSERVICE
After diligent inquiry, I have been unable to find and serve the following person(s):
NAME
REASON
I declare that this proof of nonservice has been examined by me and that its contents are true to the best of my information, knowledge,
and belief.
Date
JC 12a (9/06)
Signature
PROOF OF SERVICE/NONSERVICE
MCR 2.107(D), MCR 3.920(H)
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