In the District Court of ______________________ County State of Oklahoma
Re: Application of ______________________ ) for License as a County Private ) Process Server )
No. _______________
Application
Name of Applicant ____________________________________________________________________ _________________________________________________
All Other Names Presently or Previously Used Residence Address
____________________________________________________________________ City ________________________ State ___________ Zip ____________
Residence Phone Business Address
____________________________________________________________________ ____________________________________________________________________ City ________________________ State ___________ Zip ____________
Business Phone
____________________________________________________________________
Social Security Number ____________________________________________________________________ Driver's License No. ____________________________________________________________________
Applicant hereby applies for a license as a private process server to serve process issued by this court in civil cases for service within the State of Oklahoma, in accordance with the provisions of 12 O.S. § 158.1. Applicant avers that (s)he is eighteen (18) years of age or older, possesses good moral character, and should be deemed ethically and mentally fit to obtain this license. Once found qualified for the license sought hereby, applicant will execute the required statutory bond for faithful performance of his duties and will abide by all the provisions of the applicable law. Supplied herewith are: (check applicable paragraph) ____ ____ ____ Original application fee of ThirtyFive Dollars ($35.00) and the court costs as provided by law. Renewal of original application fee of Five Dollars ($5.00). Photograph (if required).
Dated ___________________________
By ______________________________________________
Verification
State of Oklahoma County of ____________________ ) ) )
SS
I, ________________________________________, of lawful age and being duly sworn, states that (s)he has read the foregoing Application, that (s)he is familiar with the contents thereof, and that the statements set forth therein are true and correct. Subscribed and sworn to before me on _________________________________________.
AOC Form 11; Revised 9/05
___________________________________ Court Clerk