STATE OF MAINE SUPERIOR COURT , ss. Docket No. Plaintiff v. FEDERAL AFFIDAVIT Defendant UNDER OATH and subject to the penalties of perjury, I hereby state on my own knowledge and belief that: As of the date of this Affidavit, Defendant is not in the Military Service of the United States, as defined in Article I of the "Soldiers' and Sailors' Civil Relief Act" of 1940, as amended, based on the following facts: Defendant resides in Maine in the Town of Defendant is employed at (name of employer) in Maine in the Town of Other facts showing Defendant is not in the military . AND this action has been filed in the proper court because: Plaintiff resides in Maine in the Town of Defendant resides in Maine in the Town of ; or . ; or ; or DISTRICT COURT Location Docket No.
Date: (Plaintiff or Plaintiff's Attorney signature) STATE OF MAINE County of Personally appeared the above-named and signed and made oath to the foregoing Federal Affidavit, before me, Date: Attorney at Law / Notary Public / Deputy Clerk
Notice: This form must be filed if the defendant has failed to answer the complaint or file a notice of appearance.
CV-052, Rev. 09/97