District Court

Denver Probate Court

________________________________ County, Colorado Court Address: _______________________________________________ In the Interests of In the Matter of the Estate of:
_________________________________________________________________________________________

COURT USE ONLY
Attorney or Party Without Attorney (Name and Address):
_____________________________________________ _____________________________________________

Case Number: _________________

Phone Number:________________ E-mail: _____________________ FAX Number:__________________ Atty. Reg. #: ________________

Division _______ Courtroom ________

PERSONAL SERVICE AFFIDAVIT
I declare under oath that I am 18 years or older and not a party to the action and that I served __________________________________________________________________ (identify title of documents) on ______________________________ (name of person) in ________________________ (name of County/State) on ____________________ (date) at ________ (time) at the following location: __________________________________________________________________________________________.

By handing the documents to a person identified to me as the Person in this case.

Protected Party,

Minor, or

Interested

By identifying the documents, offering to deliver them to a person identified to me as the Protected Party, Minor, or Interested Person in this case who refused service, and then leaving the documents in a conspicuous place.

I have charged the following fees for my services in this matter: Private process server Sheriff, ______________________County ______________________________________ Signature of Process Server Fee $ __________ Mileage $ ________ ______________________________________ Name (Print or type)

Subscribed and affirmed, or sworn to before me in the County of ______________________, State of _______________, this ___________ day of _______________, 20 _______.

My Commission Expires: ____________________

______________________________________ Notary Public

JDF 718

3/08

PERSONAL SERVICE AFFIDAVIT