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COURT OF COMMON PLEAS CLERMONT COUNTY, OHIO BARBARA WIEDENBEIN, CLERK OF COURTS REQUEST FOR SERVICE Case Number: Plaintiff/Petitioner vs. Defendant/Respondent To The Clerk of said Court: Issue: On behalf of (Plaintiff/Defendant) Party to be served: Address: Sheriff of County Certified Mail Process Server Service by Publication (Affidavit for Service by Publication and Legal Notice attached) Regular US Mail with Certificate of Mailing Regular US Mail Returnable according to law Self-represented Signature Phone Number : Court Clerk Attorney Signature Supreme Court #: DR-110 Rev. 3/17 American LegalNet, Inc. www.FormsWorkFlow.com