SCA-FC-105: Acceptance of Service
Review Date: 05/2014; Revision Date: 05/2014; WVSCA Approved: 06/17/2014
Page 1 of 1
IN THE FAMILY/CIRCUIT COURT OF
COUNTY, WEST VIRGINIA
ACCEPTANCE OF SERVICE
I hereby accept service of the Summons and a copy of the Petition in the case styled,
and ,
Civil Action No.
, this
day of
, 20
.
This Acceptance of Service shall have the same force and effect as if personally served upon me in
County, West Virginia, by the Sheriff of said County.
Signature of Respondent
Provide the information below if you have NOT
requested to withhold your identifying information.
Taken, sworn to, and subscribed before me this _________ day of ______________________, 20____.
Notary Public or Deputy Circuit Clerk
Address
( )
-
Phone
My Commission expires ____________________________________________.