CERTIFICATE OF SERVICE I, , certify that I am, and at all times during the service of process was, not less than 18 years of age and not a party to the matter concerning which service of process was made. I further certify that the service of this summons and a copy of the complaint was made by: (date) 9 Mail Service: Regular, first class United States mail, postage fully pre-paid, and addressed to: 9 Personal Service: By leaving the process with defendant or with an office or agent of defendant at: 9 Residence Service: By leaving the process with the following adult at: 9 Publication: The defendant was served as follows: [Describe briefly] 9 State Law: The defendant was served pursuant to the laws of the State of follows: [Describe (name of state) briefly] ,as Under penalty of perjury, I declare that the foregoing is true and correct. Date Signature Print Name Business Address City State Zip 2000 © American LegalNet, Inc.