This Pennsylvania Affidavit of Service is an important legal document. It's used to verify that legal documents have been properly delivered to a person involved in a legal proceeding, in accordance with Pennsylvania laws and regulations. Please complete this form with accurate information to ensure compliance with Pennsylvania legal standards.
Affidavit of Service
Commonwealth of Pennsylvania
County of ___________
I, ___________ [Name of Server], being duly sworn according to law, depose and say:
- I am over the age of 18 and not a party to the within action.
- On the _____ day of ___________, 20__, at ___________ [Time], I served the documents titled ___________ [Document Title(s)] upon:
Name of Person Served: ___________
Address Where Documents Were Served: ___________
City/Town: ___________
County: ___________
State: PA
Method of Service:
- ____ Personal Delivery: I delivered the document(s) directly to the person named.
- ____ Mail: I mailed the document(s) via the United States Postal Service, by certified mail, return receipt requested, to the person’s last known address.
- ____ Electronic Delivery: I emailed the document(s) to the email address known to be that of the person’s.
- ____ Other: _______________________ (Please explain).
Additional Information:
_________________________________________________________________________
_________________________________________________________________________
I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. § 4904, relating to unsworn falsification to authorities.
Executed on the _____ day of ___________, 20__.
_____________________________________
Signature of Server
Sworn to and subscribed before me this _____ day of ___________, 20__.
_____________________________________
Notary Public
My Commission Expires: ___________