STATE OF HAWAI`I CIRCUIT COURT OF THE __________ CIRCUIT
CASE NUMBER
RETURN AND ACKNOWLEDGMENT OF SERVICE
DOCUMENTS SERVED:
I, Sheriff/Police Officer of the State of Hawai`i do hereby certify that I received a certified copy of the documents listed above and that I served the same on _____________________________________________________________
(name of party)
on ____________________________ at ______________________________ at _____________________________
(date) (address) (time)
_______________________________________________________________ within the State of Hawai`i as follows: u PERSONAL: By delivering to and leaving with __________________________________________, personally. u SUBSTITUTE: [HRCP 4(d) (1) (A)] After due and diligent search and inquiry, I served above-named defendant through __________________________________________________, a person of suitable age and discretion then residing at said party's usual place of abode, since the defendant could not be found. u SUBSTITUTE: [HRCP 4(d) (1) (B)] I served above-named defendant through ___________________________, authorized agent to receive service of process for said defendant. u BUSINESS/CORPORATION/GOVERNMENTAL ENTITY: On _______________________________________
(name of business/corp/entity)
_______________________by serving through ____________________________________________________,
(name of person served)
__________________________, who is the _______________________________________and authorized agent
(postition/title)
of said Business/Corporation/Governmental Entity. u GARNISHMENT: I served ____________________________________________ through ________________
(name of garnishee)
_____________________________________ who is authorized to accept service for the above-named garnishee.
(name of person served)
u NOT FOUND:
After due and diligent search and inquiry, I am unable to find ___________________________.
(name of party)
Attorney (Name, I.D. No., Address, Phone)
Date:
Sheriff/Police Officer (type or print)
Signature
FORM NO. 001103 (7/91)
RETURN AND ACKNOWLEDGMENT OF SERVICE 1C-P-022
Reset
SUBSCRIBED AND SWORN TO BEFORE ME THIS DATE: ______________________________ IN __________________, HAWAI`I
NOTARY PUBLIC'S SIGNATURE: __________________________________ STATE OF HAWAI`I
MY COMMISSION EXPIRES:
ACKNOWLEDGMENT OF SERVICE __________________________________________________________________________________________ (signature of person served) (date) (time) __________________________________________________________________________________________ __________________________________________________________________________________________