Pennsylvania Affidavit of Service
This Affidavit of Service is prepared in accordance with the Pennsylvania Rules of Civil Procedure. It is used to provide official confirmation that a legal document has been properly delivered to an individual or entity involved in a legal proceeding.
Complete the blanks with the appropriate information to accurately reflect the service of documents.
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF ___________________
AFFIDAVIT OF SERVICE
Before me, the underscribed authority, on this day personally appeared ___________________ (Name of the Affiant), who being duly sworn deposes and states:
1. Affiant's Name: ___________________________
2. Affiant's Address: ___________________________
3. Affiant's Phone Number: ___________________________
4. Affiant served the following documents on the Respondent/Defendant:
- Document Title: ___________________________
- Date of Service: ___________________________
- Method of Service: ___________________________
- Location of Service: ___________________________
- Recipient of the Service: ___________________________
5. Affiant affirms that the information provided in this Affidavit is true and correct to the best of their knowledge, information, and belief, and that this Affidavit is executed in good faith to satisfy the requirements of the laws of the Commonwealth of Pennsylvania.
6. This Affidavit is made to induce the ___________________ (Court/Agency) to accept the aforementioned documents as duly served in accordance with the laws of the Commonwealth of Pennsylvania.
___________________
(Affiant’s Signature)
Sworn to and subscribed before me this ___ day of _______________, 20__.
___________________
(Notary Public)
My Commission Expires: _____________________
NOTARY SEAL: