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Personal Service On Prisoner And Affidavit MC 273 - Michigan
| Personal Service On Prisoner And Affidavit Form. This is a Michigan form and can be used in General Statewide . |
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Original - Court 1st copy - Prisoner 2nd copy - Department of Corrections Approved, SCAO 3rd copy - Return to court STATE OF MICHIGAN CASE NO. JUDICIAL DISTRICT PERSONAL SERVICE JUDICIAL CIRCUIT ON PRISONER AND AFFIDAVIT COUNTY PROBATE Court address Court telephone no.Plaintiff(s) Defendant(s) v Juvenile In the matter of Probate In the matter of REQUEST To the Warden/Administrator of Name of correctional institution You are requested to serve Title or description of papers together with List of attachments on within days. Upon service, you must Name of prisoner and prisoner identification number (if known) complete and file the affidavit below with the court clerk. If you are unable to complete service for some reason, you must return the original papers and all copies to the court clerk. Date Court clerk AFFIDAVIT OF SERVICE I state that I am a legally competent adult who is not a party or an officer of a corporate party, and that I personally served the above named papers and attachments, if any, on Name of prisoner and prisoner identification number (if known) on . Day, date, and time Signature Name (type or print) Subscribed and sworn to before me on Date , County and state .My commission expires: Signature: ACKNOWLEDGMENT OF SERVICE I acknowledge that I have received the above described papers on Day, date, time on behalf of .Signature MC 273 (3/01) PERSONAL SERVICE ON PRISONER AND AFFIDAVIT MCR 2.105
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