North Carolina Affidavit of Service
Introduction
I, [YOUR NAME], being duly sworn, depose and state as follows:
Statement of Facts
I am over the age of eighteen (18) years and not a party to the action entitled [CASE NAME], do hereby certify under penalty of perjury that on [SERVICE DATE], I served the following documents:
The manner of service was as follows:
On the aforementioned date, I personally served the documents to the defendant, [DEFENDANT'S NAME], at [PRONOUN] residence located at [DEFENDANT'S ADDRESS]. I approached the address and confirmed the identity of the individual as [DEFENDANT'S NAME] based on [PRONOUN] driver's license, which was provided upon request.
The identity of the individual served, if applicable, is as follows:
The time and date of service were as follows:
Date: [SERVICE DATE]
Time: [SERVICE TIME]
Oath or Affirmation
I, [YOUR NAME], hereby affirm and attest under oath that all statements made herein are true and accurate to the best of my knowledge and belief. I understand that any false statements may be punished by fine, imprisonment, or both under North Carolina law.
Signatures
[YOUR NAME]
Sworn to and subscribed before me on this [DATE].
[NOTARY PUBLIC'S NAME]
Notary Public, State of North Carolina
[NOTARY COMMISSION EXPIRY DATE]
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