Free Print Form IN THE CIRCUIT COURT OF _________ COUNTY, ARKANSAS NUMBER __________... - Arkansas

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IN THE CIRCUIT COURT OF _________ COUNTY, ARKANSAS NUMBER ____________

IN THE MATTER OF APPOINTMENT OF ______________________ TO SERVE LEGAL PROCESS

APPLICATION FOR APPOINTMENT AND AUTHORIZATION TO SERVE LEGAL PROCESS

Comes now ______________________, and petitions the court for an order of appointment as civil process server in accordance with Rule 4(c)(2), Arkansas Rules of Civil Procedure, and Administrative Order Number 20, and states: 1. Applicant seeks appointment to serve process in ___________ Count[y] [ies], Arkansas and as established by affidavit satisfies the minimum qualifications: (A) is eighteen years of age or older and a citizen of the United States; (B) has a high school diploma or equivalent; (C) has not been convicted of a crime punishable by imprisonment for more than one year or a crime involving dishonesty or false statement, regardless of the punishment; (D) holds a valid driver's license from one of the United States; [(E) Any additional qualifications of judicial circuit] 2. Applicant certifies that [he/she] is familiar with the provisions of Rules 4, 5 and 45 of the Arkansas Rules of Civil Procedure and applicable Arkansas law and with the various documents to be served; that [he/she] will carry a certified copy of his or her order of appointment, and a valid

driver's license, when serving process, and will upon request or inquiry, present this identification at the time service is made. 3. Applicant is a resident of __________, _______ County, Arkansas with a mailing address of: ________________________________________.

WHEREFORE, Applicant prays that this Application be granted and that the Court enter an Order authorizing service of civil process in _________________, Count[y][ies]Arkansas. _________________________________ Applicant

STATE OF ARKANSAS ) COUNTY OF __________________) I state on oath that I have read the foregoing Application and that the statements contained therein are true and correct to the best of my present knowledge and belief. __________________________________________ Applicant Subscribed and sworn to before me this ______ day of __________________, 20______.

__________________________________________ Notary Public My Commission Expires: _________________________