Wisconsin > Statewide > Circuit Court > Family Court
Affidavit Of Service FA-4120 - Wisconsin
| Affidavit Of Service Form. This is a Wisconsin form and can be used in Family Court Circuit Court Statewide . |
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PRINT in BLACK ink Enter the name of the county in which this case is filed. Enter the name of the petitioner. If joint petitioners, enter the name of the wife. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY In Re: The marriage paternity of For Official Use Petitioner/Joint Petitioner-Wife: First name Middle name Last name Enter the name of the respondent. If joint petitioners, enter the name of the husband. Enter the case number. and Respondent/Joint Petitioner-Husband: Affidavit of Service First name Middle name Last name Case No. UNDER OATH I STATE THAT: Note: A party to this action cannot serve the documents on the other party. I am an adult resident of the State of Wisconsin. I am not a party to this action. On (Date) at o'clock in the a.m./p.m. After the documents have been served, the person serving the documents must complete the information. Enter the date [month, day, year], time and the address at which the documents were served. Check the boxes indicating the specific documents that were served. If one of the documents is an Order to Show Cause, enter the date [month, day, year] the Order To Show Cause was signed by a court official. If other, enter the name of the document. At (Address) I served copies of the following documents: Authenticated Summons and Petition Order to Show Cause and Affidavit for Temporary Order (Date) A blank Financial Disclosure Statement Requirement to attend parent education Order to Appear Other: Other: Other: Enter the name of the party to whom the papers were served. Take Notice: You must complete this task. personally by delivering to and leaving these documents with the person served whom I know to be At the time of service, I signed my name, time, date, place and manner of service and upon whom service was made on the copy that was served. FA-4120V, 10/06 Affidavit of Service Page 1 of 2 §801.10, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. American LegalNet, Inc. www.FormsWorkFlow.com Affidavit of Service Page 2 of 2 Case No. STOP! Take this document to a Notary Public BEFORE you sign it. After you, the server, 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 Have the Notary Public sign, date, and seal the document. Subscribed and sworn to before me on (Seal) Notary Public, State of Wisconsin My commission expires: FA-4120V, 10/06 Affidavit of Service Page 2 of 2 §801.10, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. American LegalNet, Inc. www.FormsWorkFlow.com
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