Introduction

I, [YOUR NAME], hereby solemnly affirm under penalty of perjury that:

Statement of Facts

1. On [SERVICE DATE], I, the undersigned, served the following documents:

   • Summons

   • Complaint

   • Notice of Child Custody Hearing

2. The recipient of the aforementioned documents was:

   • [RECIPIENT'S NAME]

3. The method of service used was:

   • Personal Service

4. The date and time of service were:

   • Date: [SERVICE DATE]

   • Time: [SERVICE TIME]

5. The location where the service was made was:

   • [RECIPIENT'S NAME]'s residence at [RECIPIENT'S ADDRESS]

6. I personally served the documents to the recipient, [RECIPIENT'S NAME], and explained the nature and significance of the documents to them.

7. If the service was not made personally to [RECIPIENT'S NAME], I declare that the service was made in compliance with the laws and regulations governing service of process in the Commonwealth of Virginia, specifically.

8. I have no financial or personal interest in the outcome of the legal matter for which the service was made.

Affirmation

I, [YOUR NAME], affirm that all statements made within this affidavit, especially regarding child custody arrangements or support payments are accurate and true to the best of my knowledge and belief. I understand that making false statements in this affidavit may subject me to penalties for perjury.

Signatures

[YOUR NAME]

Sworn to and subscribed before me on this [DATE].

[NOTARY PUBLIC'S NAME]

Notary Public

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