{
DATE RECEIVED
DATE PROCESSED
SHERIFF’S OFFICE
MONROE COUNTY, PENNSYLVANIA
COURTHOUSE, STROUDSBURG, PA 18360
SHERIFF SERVICE
PROCESS RECEIPT
PLEASE TYPE OR PRINT LEGIBLY, INSURING READABILITY.
MCSO ENV.#
1. PLAINTIFF/S/
2. COURT NUMBER
3. DEFENDANT/S/
4. TYPE OF WRIT OR COMPLAINT
SERVE
AT
5. NAME OF INDIVIDUAL, COMPANY, CORPORATION, ETC. TO SERVICE OR DESCRIPTION OF PROPERTY TO BE LEVIED, ATTACHED OR SOLD.
6. ADDRESS (Street or RFD, Apartment #, City, Boro, Twp, State and Zip Code)
7. SERVICE:
PERSONAL
PERSON IN CHARGE DEPUTIZE CERT. MAIL REGISTERED MAIL FIRST CLASS MAIL POSTED
PUBLICATION
Now, _________________, _______, I, SHERIFF OF MONROE COUNTY, PA, do hereby deputize the SHERIFF of
_____________________________ County to execute this Writ and make return thereof according to law.
This deputation being made at the request and risk of the plaintiff. ____________________________________
8. POSTING REQUIREMENT:
TAX CODE#
PIN #
NOTE ONLY APPLICABLE ON WRIT OF EXECUTION: N.B. WAIVER OF WATCHMAN - Any deputy sheriff levying upon or attaching any property under within
writ may leave same without a watchman, in custody of whomever is found in possession, after notifying person of levy or attachment, without liability on the part
of such deputy or the sheriff to any plaintiff herein for any loss, destruction or removal of any such property before sheriff's sale thereof.
10. SIGNATURE of ATTORNEY or other ORIGINATOR requesting service on behalf of:
11. TELEPHONE NUMBER
12. DATE
PLAINTIFF
DEFENDANT
13. I ACKNOWLEDGE RECEIPT OF THE WRIT
OR COMPLAINT AS INDICATED ABOVE
Signature of Authorized MCSO Deputy or Clerk and Title 14. Date Received 15. Expiration/Hearing Date
TYPE OF SERVICE: PERSONAL POST RECHECK/LOCKOUT COMPLETE LEVY READ ORDER
OTHER/PERSON IN CHARGE
NAME:
RELATIONSHIP:
ADDRESS SERVED, IF
DIFFERENT FROM ABOVE:
NO SERVICE
REASON:
DEPUTY:
DATE:
TIME:
MILEAGE: