AFFIDAVIT OF SERVICE

JDF 98 R4/20 AFFIDAVIT OF SERVICE

❑County Court ❑District Court

__________________ County, Colorado

Court Address:

Plaintiff/Petitioner(s):

Defendant/Respondent(s):

COURT USE ONLY

Attorney or Party Without Attorney (Name and Address):

Phone Number: E-mail:

FAX Number: Atty. Reg. #:

Case Number:

Division Courtroom

AFFIDAVIT OF SERVICE

I declare under oath that I am 18 years or older and not a party to the action and that I served THE FOLLOWING

DOCUMENTS _____________________________________________________ on the Defendant/Respondent

in __________________________ (name of County/State) on ___________________ (date) at ________ (time)

at the following location: .

❑By handing the documents to a person identified to me as the Defendant/Respondent:

(print name of person served).

❑By identifying the documents, offering to deliver them to a person identified to me as the

Defendant/Respondent who refused service, and then leaving the documents in a conspicuous place.

❑By leaving the documents at the Defendant/Respondent’s usual place of abode with

________________________ (Name of Person) who is a member of the Defendant/Respondent’s family and

whose age is 18 years or older. (Identify family relationship) .)

❑By leaving the documents at the Defendant/Respondent’s usual workplace with

_____________________________ (Name of Person) who is the Defendant/Respondent’s secretary,

administrative assistant, bookkeeper, or managing agent. (Circle title of person served.)

❑By leaving the documents with ___________________________________ (Name of Person), who as

__________________________ (title) is authorized by appointment or by law to receive service of process for the

Defendant/Respondent.

❑By serving the documents as follows (other service permitted by C.R.C.P 4(g) or C.R.C.P. 304(c)(d) and (e):

______________________________________________________________________________________.

❑For Eviction Cases Only.

I have made diligent efforts such as ______________________________________________________ (list

personal service attempts) but have been unable to make personal service on the Defendant/Respondent(s)

and I have made service of the within summons and complaint by posting a copy of them in a conspicuous

place upon the premises described therein.

I have charged the following fees for my services in this matter:

❑Private process server

❑Sheriff, _________________________County

Fee $ ____________ Mileage $ __________

JDF 98 R4/20 AFFIDAVIT OF SERVICE

❑ By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form.

❑ By checking this box, I am acknowledging that I have made a change to the original content of this form.

VERIFICATION

I declare under penalty of perjury under the law of Colorado that the foregoing is true and correct.

Executed on the ______ day of ________________, ______

(date) (month) (year)

___________________________________

(city or other location, and state OR country)

______________________________________ __________________________________________________

(Printed Signature) Signature Date