Affidavit - Return Of Service For Debtor Packet {CIV-567}

File Stamp AFFIDAVIT ­ RETURN OF SERVICE FOR DEBTOR PACKET Court Location: Case Name: I solemnly swear or affirm that the following facts are true to the best of my knowledge: I personally served the following documents by handing them to and leaving a true and correct copy with the person named below: Debtor Packet for Executing on Property Copy of Creditor's Affidavit (CIV-505) dated Notice of Levy & Sale of Property & Notice of Right to Exemptions (CIV-510) Claim of Exemptions (CIV-515) Judgment Debtor Booklet (CIV-511) Debtor Packet for Garnishing Earnings Notice of Garnishment and Notice of Right to Exemptions (CIV-530) Claim of Exemption from Garnishment (CIV-531) Debtor's Name: Address: Date and time of service: Fees authorized by Administrative Rule 11 and incurred by creditor: 1 Service Fee [Rule 11(a)(1)(ii)]: Fee for Excess Hours [Rule 11(a)(1)(iii)]: (Total hours to obtain service: Mileage Fee [Rule 11(a)(7)]: Fee for Excess Mileage [Rule 11(a)(7)]: (Total miles traveled to obtain service: TOTAL FEES (recoverable from debtor): Return Date Signature Subscribed and sworn to or affirmed before me at on . (SEAL) ) $ Print Name , Alaska Clerk of Court, Notary Public, or other person authorized to administer oaths. My commission expires ) $ $ Case No. $ $ Process server notes: 1 Fees may include local taxes but may not exceed the Rule 11 maximums. Civ. R. 79(f)(16) and Adm. R. 11. Civ. Rule 69 (g)(5)(A)(ii) and Admin. Rule 11 American LegalNet, Inc. www.FormsWorkFlow.com CIV-567 (8/10)(cs) AFFIDAVIT ­ RETURN OF SERVICE FOR DEBTOR PACKET