Wisconsin > Statewide > Circuit Court > Small Claims
Affidavit Of Mailing SC-5130 - Wisconsin
|Affidavit Of Mailing Form. This is a Wisconsin form and can be used in Small Claims Circuit Court Statewide .||
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PRINT in BLACK ink Enter the name of the county in which you are filing, or have already filed, this case. For Official Use STATE OF WISCONSIN, CIRCUIT COURT, COUNTY Plaintiff(s): Enter the Plaintiff's name. _____________________________________________________ Enter the Defendant's name. -vs.Defendant(s): Enter the case number. Affidavit of Mailing Case No. UNDER OATH, I STATE: After you have mailed the summons and complaint, or other document, you must complete the information to the right. Enter the date [month, day, year] on which you placed the documents in a mailbox, and the name(s) and address(es) of the person to whom you mailed them. I placed in an envelope a copy of the following documents: Authenticated Copy of the Summons and Complaint Motion: Other: I mailed that envelope with proper postage affixed on (date) Name to: Address Address City State Zip Name Address Address City State Zip STOP! Take this document to a Notary Public BEFORE you sign it. After you have been sworn by a Notary Public, sign and print your name and date the document in front of the Notary Public. Signature Print or Type Name Date Subscribed and sworn to before me on Have the Notary Public sign, date, and seal the document. (Seal) Notary Public, State of Wisconsin My commission expires: SC-5130V, 10/07 Affidavit of Mailing §801.14, Wisconsin Statutes Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com This form shall not be modified. It may be supplemented with additional materials.