Indiana Affidavit of Service
State of Indiana 
County of [County Name]
I, [Your Name], being duly sworn, depose and say: 
Statement of Facts
- I am over the age of 18 years and not a party to the action entitled [Case Name], pending in the [Court Name], [Court Location], Indiana. 
- On [Date], I served the documents described as [Type of Document] upon the following parties: [Recipient's Name] at [Recipient's Address].  
- Service was effectuated by [Method of Service].   
- The individual/s served were properly identified as the intended recipients of the documents.   
- I am familiar with the contents of the documents served, which include [Brief Description of Contents]. 
- The service was completed within the jurisdictional requirements set forth by the laws of Indiana. 
- I have not received any refusal of service or indication that the served parties were unwilling to accept the documents. 
- Attached hereto as Exhibit A is proof of service.  
Sworn Oath 
I declare under penalty of perjury under the laws of the State of Indiana that the foregoing is true and correct.
Signature 

[Your Name]
Affiant
Subscribed and sworn to before me this [Day] day of [Month], [Year].

[Notary Public's Name]
Notary Public in and for the State of Indiana
My Commission Expires: [Expiry Date]
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