Affidavit Of Service

STATE OF INDIANA ) IN THE ALLEN SUPERIOR COURT ) SS: COUNTY OF ALLEN ) FORT WAYNE, INDIANA CASE NUMBER: Plaintiff(s) / Petitioner(s), vs. Defendant(s) / Respondent(s). AFFIDAVIT OF SERVICE I affirm under the penalties of perjury, I served the within: Notice of New Claim Contempt Citation and Order on Motion Notice of Alias Claim (Other) Defendant: I served a copy as specified: Reading/delivering a copy (A) To the within named party Leaving a copy for the within named party (B) With the spouse, named: (F) With a secretary, named: (C) With a relative, named: (G) With the Attorney, named: (D) At the residence, located at: (E) With the employer, named: (H) With this person (specify): () And by mailing a copy of this document by first class mail to the last known address and named person as indicated above. I did not serve the written document because: () (I) The party was not found/no such address (R) The party was on vacation (J) The document expired (S) The party was not found/vacant (K) The party avoided service (T) The party was not found/moved (L) The party refused service (U) The party was not found in this bailiwick (M) The party was no longer employed at address (V) Insufficient address or information given (N) The document was returned to plaintiff (W) They are no longer in business (O) The party is deceased (X) Several attempts were made/unable to serve (P) The party was unknown at that address (Y) Of the following reason (Other specify (Q) The party was on sick leave/lay off I affirm, under the penalties of perjury, that the foregoing representations are true and correct to the best of my knowledge. Date Served Time Served Signature Fee Fort Wayne City $ Out of County S = miles @ per mile First Class Mail $ Immediate Service $ American LegalNet, Inc. www.FormsWorkFlow.com