Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Affidavit Of Service Individual-Sole Proprietorship-Partnership Form. This is a Wisconsin form and can be use in Circuit Court Statewide.
Loading PDF...
Tags: Affidavit Of Service Individual-Sole Proprietorship-Partnership, SC-5120, Wisconsin Statewide, Circuit Court
PRINT in BLACK ink
Enter the name of the
county in which this
case was filed.
Enter the name(s) as
listed on the Summons
and Complaint.
For Official Use
STATE OF WISCONSIN, CIRCUIT COURT,
Plaintiff(s):
Enter the name(s) as
listed on the Summons
and Complaint.
COUNTY
-vs.Defendant(s):
Affidavit of Service
(Non-Eviction)
Individual/Sole Proprietorship/
Partnership
Enter the case number.
Complete one form for
each defendant served.
For 1, check the box to
indicate the state where
you live.
Note: A party in this case
cannot serve the
summons and complaint
on the defendant.
For 3, make sure that the
served copy was signed at
the time of service, and
also included the time,
date, place, manner of
service, and upon whom
service was made.
Case No.
UNDER OATH, I STATE THAT:
1. I am an adult resident of the State of:
Wisconsin.
Illinois.
If 4B, fill in the name of
the business, name of the
person you served, the
address, date, and time.
If 4C, fill in the name,
address, date, and time.
If 4C, also explain what
other efforts you made to
find and serve the
defendant personally
before you left a copy
with someone else.
See Pre-Judgment: Basic
steps to Small Claims
Service (SC-6050V).
Michigan.
Minnesota.
2. I am not a plaintiff in this case.
3. I served an authenticated copy of the Small Claims Summons and Complaint on (Name of
defendant served)
.
At the time of service, I signed my name on the copy that was served (for example, on the back
or in any blank space) and indicated the time, date, place, manner of service, and upon whom
service was made.
4. The manner of service was:
A. Individual: I gave a copy to the person who I knew to be the defendant at:
on
(Address)
(Date)
For 4, check A or B or C.
If 4A, fill in the address,
date and time.
Iowa.
at
o’clock in the a.m./p.m.
B.
Sole proprietor/partnership: I gave a copy to the defendant who is a sole
proprietor or partner doing business under the name of
by serving (Name)
at (Address)
on (Date)
at
o’clock in the a.m./p.m.
I believe the person I served is the owner or a partner.
C.
Substituted service: I could not give a copy to the defendant, owner, or partner
personally even after reasonable effort(s). I left a copy with a competent adult or a
member of the family at least 14 years of age currently living in the defendant’s,
owner’s, or partner’s home. I informed that person of the contents of the papers.
I left a copy with (Name)
(Address)
(Date)
at:
on
at
o’clock in the a.m./p.m.
Before leaving a copy, I made the following efforts to serve the defendant, owner, or
partner personally:
SC-5120V, 02/11 Affidavit of Service (Non-Eviction) Individual/Sole Proprietorship/Partnership
§§801.11 and 801.14, Wisconsin Statutes
This form shall not be modified. It may be supplemented with additional materials.
Page 1 of 2
American LegalNet, Inc.
www.FormsWorkFlow.com
Affidavit of Service (Non-Eviction) Individual/Sole Proprietorship/Partnership
Page 2 of 2
Case No. _______________
STOP!
Take this document to a Notary Public BEFORE you sign it.
►
After you, the server,
have been sworn by a
Notary Public, sign
and print your name
and date the document
in front of the Notary
Public.
Signature
Print or Type Name
Date
Have the Notary Public
sign, date, and seal the
document.
State of
County of
Subscribed and sworn to before me on
(Seal)
Notary Public/Court Official
Name Printed or Typed
My commission/term expires:
SC-5120V, 02/11 Affidavit of Service (Non-Eviction) Individual/Sole Proprietorship/Partnership
§§801.11 and 801.14, Wisconsin Statutes
This form shall not be modified. It may be supplemented with additional material.
Page 2 of 2
American LegalNet, Inc.
www.FormsWorkFlow.com
