Cause No



Cause No.

{PLAINTIFF/PETITIONER} § IN THE ________ COURT OF

§

§

VS. § __________ COUNTY, TEXAS

§

§

{DEFENDANT/RESPONDENT} § {COURT NUMBER}

AFFIDAVIT

Before me, the undersigned authority, personally appeared {NAME OF PROCESS SERVER}, who swore under oath that the following facts are true and correct:

“My name is {NAME OF PROCESS SERVER}. I am a private process server authorized by the Supreme Court of Texas. My authorization number is {NUMBER}.

I am an agent of: {PROCESS SERVER’S COMPANY NAME}

My address is: {ADDRESS, CITY, STATE, and ZIP}

My phone is: {PHONE NUMBER}

I delivered {IN PERSON, REGISTERED MAIL, CERTIFIED MAIL, ETC.} a true and correct copy of the citation and the attached {NAME TYPE OF DOCUMENTS – PETITION, DISCOVERY, ETC.} to {NAME OF PERSON} located at {ADDRESS, CITY, STATE, and ZIP} at {TIME AND DATE OF DELIVERY}.

I am not a party to this case nor am I related to, employed by, or otherwise connected to [other than having been retained to serve process in this case] any party or any party’s attorney in this case; and I have no interest in the outcome of this lawsuit.

I am over the age of eighteen (18) years of age. I am of sound mind and have never been convicted of a felony or misdemeanor involving moral turpitude.”

__{SIGNATURE}________________

Signature

__{PRINT NAME & ID #}___________

Print Name & Authorization #

On this day personally appeared {NAME OF PROCESS SERVER} known to me to be the person whose name is subscribed to the foregoing document and, being by me first duly sworn, declared under oath that the statements therein contained are true and correct. Given under my hand and seal of office this {DAY} day of {MONTH}, {YEAR}.

_{SIGN}________________________

NOTARY STAMP Notary Public

Cause No.

{PLAINTIFF/PETITIONER} § IN THE ________ COURT OF

§

§

VS. § __________ COUNTY, TEXAS

§

§

{DEFENDANT/RESPONDENT} § {COURT NUMBER}

AFFIDAVIT

Before me, the undersigned authority, personally appeared {NAME OF PROCESS SERVER}, who swore under oath that the following facts are true and correct:

“My name is {NAME OF PROCESS SERVER}. I am a private process server authorized by the Supreme Court of Texas. My authorization number is {NUMBER}.

I am an agent of: {PROCESS SERVER’S COMPANY NAME}

My address is: {ADDRESS, CITY, STATE, and ZIP}

My phone is: {PHONE NUMBER}

I was unable to deliver a true and correct copy of the citation and the attached {NAME TYPE OF DOCUMENTS – PETITION, DISCOVERY, ETC.} to {NAME OF PERSON} located at {ADDRESS, CITY, STATE, and ZIP}.

The following is a list of the attempts that I have made and the results of those attempts.

DATE OF ATTEMPT TIME OF ATTEMPT LOCATION OF ATTEMPT

{DATE} {TIME} {ADDRESS, CITY, STATE, ZIP}

{DESCRIBE WHAT OCCURRED AT THE ATTEMPT}

I am not a party to this case nor am I related to, employed by, or otherwise connected to [other than having been retained to serve process in this case] any party or any party’s attorney in this case; and I have no interest in the outcome of this lawsuit.

I am over the age of eighteen (18) years of age. I am of sound mind and have never been convicted of a felony or misdemeanor involving moral turpitude.”

__{SIGNATURE}________________

Signature

__{PRINT NAME & ID #}___________

Print Name & Authorization #

On this day personally appeared {NAME OF PROCESS SERVER} known to me to be the person whose name is subscribed to the foregoing document and, being by me first duly sworn, declared under oath that the statements therein contained are true and correct. Given under my hand and seal of office this {DAY} day of {MONTH}, {YEAR}.

_{SIGN}_____ ________________

NOTARY STAMP Notary Public

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