Fillable Beaver County Gov Form 3 C Affidavit Of Service By Personal Service

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Beaver County Gov Form 3 C Affidavit Of Service By Personal Service

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The Beaver County Gov Form 3 C Affidavit Of Service By Personal Service form is 4 pages long and contains:

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Instructions for:
Form 3-C
Affidavit of Service by
Personal Service
Form 3-C - Affidavit of Service by Personal Service
The numbers on these instructions correspond with the numbers in the arrowboxes on the
form. Use the form with the arrowboxes to guide you through filling out the blank form.
1. Write the name of the county you are filing in by arrowbox 1. Write exactly what
you wrote on Form 1, by arrowbox 1.
2. Write your name by arrowbox 2. Write your name exactly as you wrote it on
Form 1, by arrowbox 2.
3. Write your spouse's name by arrowbox 3. Write your spouse's name exactly as
you wrote it on Form 1, by arrowbox 3.
4. Write the docket number by arrowbox 4. The docket number is the number that
the Prothonotary's Office wrote on Form 1, by arrowbox 4 at the time of filing.
5. Write the name of the adult person (cannot be you) who served your spouse
Form 1 by arrowbox 5.
6. After the third party serves your spouse with Form 1, he/she will write the date
he/she served your spouse by arrowbox 6.
7. After the third party serves your spouse with Form 1, he/she will write today’s
date by arrowbox 7.
8. After the third party serves your spouse with Form 1, he/she will sign by
arrowbox 8.
9. File this form with the Prothonotary.
Note: Because this is original service (see Introduction section), you must also provide
a copy of the complete service document to the other party.
Form 3-C
Page 1 of 1
IN THE COURT OF COMMON PLEAS OF
_______________________ COUNTY, PENNSYLVANIA
_______________________________, : CIVIL ACTION – LAW
PLAINTIFF (your full name) :
:
: Case No. ______________
vs. :
:
_______________________________, :
DEFENDANT (spouse’s full name) : IN DIVORCE
AFFIDAVIT OF SERVICE BY PERSONAL SERVICE
I, _______________________________, hereby depose and say that on this date,
I personally served the above-captioned Defendant with a Complaint in Divorce and
Notice to Defend and Claim Rights with Notice of Availability of Counseling, by
personally handing the same to him/her on _________________ (date).
I verify that the statements in this document are true and correct to the best of my
knowledge, information, and belief. I understand that false statements herein are made
subject to the penalties of 18 Pa.C.S. § 4904, relating to unsworn falsification to
authorities.
Respectfully Submitted,
Date:____________________ __________________________________
Signature of Person who Served Defendant
(not Plaintiff)
1
2
3
4
5
6
7
8
IN THE COURT OF COMMON PLEAS OF
_______________________ COUNTY, PENNSYLVANIA
_______________________________, : CIVIL ACTION – LAW
PLAINTIFF (your full name) :
:
: Case No. ______________
vs. :
:
_______________________________, :
DEFENDANT (spouse’s full name) : IN DIVORCE
AFFIDAVIT OF SERVICE BY PERSONAL SERVICE
I, _______________________________, hereby depose and say that on this date, I
personally served the above-captioned Defendant with a Complaint in Divorce and Notice to
Defend and Claim Rights with Notice of Availability of Counseling, by personally handing the same
to him/her on _________________ (date).
I verify that the statements in this document are true and correct to the best of my
knowledge, information, and belief. I understand that false statements herein are made subject to
the penalties of 18 Pa.C.S. § 4904, relating to unsworn falsification to authorities.
Respectfully Submitted,
Date:____________________ __________________________________
Signature of Person who Served Defendant
(not Plaintiff)
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Beaver County Gov Form 3 C Affidavit Of Service By Personal Service

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Completed 6 December 2019

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