In the District Court of ______________________ County State of Oklahoma No. PSS- _______________ Statewide Private Process Server License Pursuant to the provisions of 12 O.S. �158.1, ______________________________ is licensed as a private process server to serve process issued in civil cases for service within the State of Oklahoma. The address of the licensee is: Residence address: ____________________________________________ ____________________________________________ Residence phone: Business address: ____________________________________________ ____________________________________________ ____________________________________________ Business phone: ____________________________________________ A brief description of the licensee is as follows: (Photograph is required) Date of Birth: Race: Height: Weight: Eye Color: _______________________ _______________________ _______________________ _______________________ _______________________ The licensee, _____________________________, is an officer of the Court of __________________ County for the purpose of service of process only. The authority of the license is statewide. This license is effective from the date the Court granted the same on the _____ day of __________________, 20____, and shall remain effective for _____ calendar year(s). DATE OF EXPIRATION:___________________________________ _________________________________ Judge of the District Court _________________________________ Court Clerk/Deputy Statewide Private Process Server License, eff. Jan 1, 2013 American LegalNet, Inc. www.FormsWorkFlow.com