Missouri > Local Circuit Courts > 16th Circuit (Jackson County) > Civil
Application And Affidavit For Placement On List Of Approved Private Process Servers - Missouri
| Application And Affidavit For Placement On List Of Approved Private Process Servers Form. This is a Missouri form and can be used in Civil 16th Circuit (Jackson County) Local Circuit Courts . |
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APPLICATION AND AFFIDAVIT FOR PLACEMENT ON LIST OF APPROVED PRIVATE PROCESS SERVERS Process Servers Information: Legal Name: ____________________________________________________________________ Current Address: ________________________________________________________________ Telephone Number: ______________________________________________________________ Primary occupation: ______________________________________________________________ Name of employer: _______________________________________________________________ Percentage of work allocated to service of process: ______________________________________ Please describe your experience and background in performing service of process: ___________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ I, _____________________________________, being duly sworn under oath and penalty of perjury (Name of Process Server) do hereby state that I meet the following qualifications: (Indicate with initials each qualification that applies) ____ I am at least eighteen (18) years of age; ____ I am a citizen of the United States; ____ I have a high school diploma or equivalent; ____ I have not plead guilty or been convicted of a felony or a misdemeanor involving moral turpitude; ____ I am not a fugitive from justice or charged with a felony or a misdemeanor involving moral tupitude; ____ I am not related to or employed (except as a private process server) by a party in the action; ____ I am of good moral character; and ____ I have not been disqualified by any court to act as a process server within the preceding twelve (12) months. ___________________________________________ P rocess Servers Signature STATE OF MISSOURI ) COUNTY OF JACKSON ) SS. Subscribed and sworn to before me on _____________________________________________________ (Seal) ____________________________________________ Notary Public My Commission Expires:_________________________________________________ Note: It is a Class A Misdemeanor to make a false affidavit for the purpose of misleading a public servant. Section 575.050 RSMo
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