Bad Address (No Other Addresses) Affidavit
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Action Process Service Job Number: *
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This is the Field Sheet Number
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Company/Individual being Served: *
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This is the Company or Persons Name that is on the front Field Sheet (it may or may not be the Defendant).
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Case Number: *
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The CASE number can be found on the Affidavit we attached to the assignment
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Address Confirmed Bad *
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Date Confirmed Bad *
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Date Confirmed Bad
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Time Confirmed Bad *
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Time Confirmed Bad
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Bad Address Details *
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Information Provided by (name) *
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Information Provided by (Name) such as Current Residents or Managers Name, Type Observation for Vacant Addresses.
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Information Provided by (title) *
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Select the Relationship or Title of the Person who advised you of this Address being bad?
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Description of Property (bad address) *
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Photo of Bad Address (if available)
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A lot of Servers are taking Photos of the "Attempted Bad Address" as confirmation that the correct address was attempted. This is “optional” but if you select to take a photo, please upload
the "Bad Address” photo in this field.
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Second Address In Progress *
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Select the Second Address Status?
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Home Phone Number (results): *
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If there was a HOME number, did you call it and what were the results? Type (None Provided) if no HOME number was provided.
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Work Phone Number (results): *
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If there was a WORK number, did you call it and what were the results? Type (None Provided) if no WORK number was provided.
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Additional Information? *
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Type any additional information, details or complications pertaining to this job?
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Declaration of Process Server
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Skip this field, it is a Declaration.
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Process Servers (Electronic) Signature: *
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Type your First & Last Name in this field.
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Date Updated: *
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This is Today's date, the date you completed this form.
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Process Servers Original Signature (use blue ink):
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You will leave this BLANK for your UPDATE but SIGN it, once you copy the update on to our letterhead as the Affidavit.
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Acknowledged by me this (date notarized):
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You will leave this field BLANK, but once this update is copied and pasted on our letterhead, you will have the Notary Public DATE it.
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Notary Publics (Original) Signature:
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You will leave this field BLANK, but once this update is copied and pasted on our letterhead, you will have the Notary Public SIGN it.
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Email *
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You will receive an automated email with these service details.
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Image Verification
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