TO PROCESS SERVER: You must make and file your return with the court clerk. If you are unable to complete service, you must
return this original and all copies to the court clerk.
AFFIDAVIT OF PROCESS SERVER
CERTIFICATE / AFFIDAVIT OF SERVICE / NONSERVICE
OFFICER CERTIFICATE
I certify that I am a Tribal police officer, sheriff, deputy
sheriff, bailiff, appointed court officer and that:
(notarization not required)
Being first duly sworn, I state that I am a legally competent
adult who is not a party or an officer of a corporate party, and
that: (notarization required)
I served a copy of the subpoena, together with (including any required fees) by
personal service registered or certified mail (copy of return receipt attached) on:
Attachment
SUBPOENA
PROOF OF SERVICE
Case No.
Complete address(es) of service Day, date, time
Name(s)
I have personally attempted to serve the subpoena and required fees, if any, together with
on the following person(s) and have been unable to complete service.
I acknowledge that I have received service of the subpoena and required fees, if any, together with
on
on behalf of .
Subscribed and sworn to before me on , County, Michigan.
My commission expires: Signature:
Notary public, State of Michigan, County of
ACKNOWLEDGMENT OF SERVICE
OR
Day, date, time
Signature
Attachment
Date
Date
Court clerk/Notary public
Attachment
Complete address(es) of service Day, date, time
Name(s)
,
Name (type or print)
Title
Signature
$$
Service fee Miles traveled Fee
Incorrect address fee Miles traveled Fee TOTAL FEE
$$$