The undersigned being duly sworn, deposes and says:

___________________________________ Deponent is not a party to the action, is over 18 years of age
(name of person serving document)

and resides at ______________________________________________________________________
                                          (address of person mailing/delivering document) 
That on __________________________, deponent served the within _________________________ on
               (date of mailing/personal service)                                                             

_____________________________________ located at ______________________________________
(name of other party or attorney for other party)                     (address of other party or attorney for other party)

__________________________________________________________________________________
 

Select one:

____ by depositing a true copy of the same enclosed in a postpaid properly addressed envelope in a post
office or official depository under the exclusive care and custody of the United States Postal Service.
 

____ by personally delivering the same.
  
___________________________________
Signature of person serving document
  
__________________________________________
Printed Name 

Sworn to before me this _____day of
 ____________, 20___
 

___________________________
                 Notary Public

AFTER THE AFFIDAVIT OF SERVICE BY MAIL HAS BEEN SIGNED AND NOTARIZED, THE
ORIGINAL AND ONE (1) COPY OF THE NOTICE OF APPEAL AND AFFIDAVIT(S) OF
SERVICE MUST BE FILED WITH THE CLERK OF THE CITY COURT.