SUMMONS AND RETURN (Adult Guardianship Petition) Page 2 of 2
This form is available for free at www.legalhelpwy.org. Last Revised 1/2014.
STOP: SHERIFF WILL FILL THIS OUT (Attach to Summons)
RETURN
STATE OF WYOMING )
) ss TO BE USED BY WYOMING SHERIFF, UNDER
COUNTY OF ____________ ) SHERIFF OR DEPUTY
I, ____________________________________, Sheriff in and for said County of
____________________, in the State aforesaid, do hereby certify that I received the within Summons,
together with a copy of the Petition for Appointment of Guardian for an Adult, filed in the above entitled
matter, and that I served the same in the County aforesaid on the ________ day of
____________________, 20_____ by delivering a copy of the same, together with a copy of the Petition
for Appointment of Guardian for an Adult, to:
_____________________________________________________________________________________
_____________________________________________________________________________________
Sheriff
By:
Deputy Sheriff
Sheriff’s fees: Service, $___________; Return $_____________
Mileage $___________; Total $_____________
___________________________________________________________________________________
AFFIDAVIT OF SERVICE
STATE OF______________ )
)ss TO BE USED BY A PERSON OTHER THAN WYOMING
COUNTY OF _____________ ) SHERIFF, UNDER SHERIFF OR DEPUTY
_______________________________, being first duly sworn, on oath deposes and says that s/he
is over 18 years old and is not a party to the foregoing action or interested therein, and that s/he made
service of said Summons in the County aforesaid on the ______ day of ___________, 20____, by
delivering a copy of the same, together with a copy of the Petition for Appointment of Guardian for an
Adult, to:
Name:
Address:
By:
Subscribed and sworn to before me this __________ day of ______________, 20_____.
_________________________________
Notarial Officer
My Commission Expires:
