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Affidavit Of Service Form. This is a Wisconsin form and can be use in Kenosha Local County.
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Tags: Affidavit Of Service, 3002 F, 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
Affidavit
of Service
and
____________________________________,
Respondent
Case # ____________________
STATE OF WISCONSIN is NOT a party
STATE OF WISCONSIN IS a party
I am an adult resident of the State of Wisconsin and not a party to the above referenced action.
I hereby certify that on
___________________________ _______, 20__ __
(Month)
in the municipality of
(Day)
(Year)
__________________________________________,
(City/Village/Town)
in the county of
_______________________________________, WI
(County)
I duly served
____________________ ____ ________________________
(First)
at the following address
(M.I.)
(Last)
_______________________________, Apt #_____________
(Street Address)
____________________________, ___ ___
(City)
a copy of the following documents:
(please list)
(State)
__ __ __ __ __
(ZIP Code)
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
At the time of service, I left a true and correct copy of those documents with the person served.
_________________________________________
Signature of Server
Subscribed and sworn to before me
this _____ day of _____________________, 20__ __.
(Day)
(Month)
(Year)
__________________________________________
Notary Public, State of Wisconsin
My commission expires: _______________________
Person serving should attach this Affidavit
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.”
3002F
Forms
Affidavit of Service
Page 1 of 1
WCCSH Rev. 5/1/02
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