Pennsylvania Affidavit of Service
This Affidavit of Service is a document used in Pennsylvania to confirm that legal documents have been properly delivered to a party involved in a legal proceeding. This template reflects compliance with Pennsylvania laws and is designed to fulfill the requirements for service of process.
Instructions: Fill in the blanks with the appropriate information where indicated.
Case Information:
- Case Number: ________________
- Case Title: ________________
Affiant Information:
- Name of Affiant: ________________
- Address of Affiant: ________________
- Phone Number: ________________
- Email Address: ________________
Service Details:
- Date of Service: ________________
- Time of Service: ________________
- Method of Service (e.g., personal delivery, mail, etc.): ________________
- Person Served (if applicable): ________________
- Address of Person Served: ________________
Declaration: I declare under penalty of perjury that the above information is true and correct.
Signature of Affiant: ________________________
Date: ________________
This affidavit must be signed in the presence of a notary public before it can be filed with the court.
Notary Public:
State of Pennsylvania
County of ________________
On this ____ day of ________________, 20____, before me, a notary public, personally appeared ________________, who is known to me (or satisfactorily proven) to be the person whose name is subscribed to the within affidavit, and acknowledged that he/she executed the same for the purposes therein contained.
Notary Signature: ________________________
My commission expires: ________________