Admission Of Service
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Admission Of Service Form. This is a Wisconsin form and can be use in Kenosha Local County.
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Tags: Admission Of Service, 3001F, Wisconsin Local County, Kenosha
S T A T E
O F
W I S C O N S I N
C I R C U I T C O U R T
FAMILY COURT BRANCH
K E N O S H A
C O U N T Y
In re the Marriage:
(initials)
____________________________________,
PETITIONER
and
____________________________________,
RESPONDENT
Admission of
Service
Case # ____________________
STATE OF WISCONSIN is NOT a party
STATE OF WISCONSIN IS a party
I (party accepting service)
____________________ ____ ________________________
on behalf of the State of Wisconsin
(First)
(M.I.)
(only for State's representative)
(Last)
admit to having voluntarily received a copy of the following documents (please list):
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
Copies of these documents remain in my possession.
Dated this ________ day of _____________________, 20__ __.
(Day)
(Month)
(Year)
_____________________________________________________
Signature of party accepting service
The person serving should attach this
Admission of Service to an authenticated
copy of the forms served and return the
documents to the Family Court Office
(Room 109) as “proof of service.”
3001F
Forms
Admission of Service
Page 1 of 1
WCCSH Rev. 5/8/02
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