Free IN DISTRICT COURT, __________________ COUNTY, NORTH DAKOTA - North Dakota

IN DISTRICT COURT, __________________ COUNTY, NORTH DAKOTA

________________________________, Plaintiff,

vs.

_________________________________, Defendant.

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AFFIDAVIT OF SERVICE BY MAIL

Civil No. ________________

I, on , 20

, being first duly sworn on oath, state that , I served the attached Reply to Motion for

Review and Amendment of Child support, and Notice upon _________________________ by placing a true and correct copy of each in an envelope addressed to the last known address of : Name: Address: City, State, Zip: and depositing the envelope, with sufficient postage, in the United States mail at the Post Office located in (City) , (State) .

Signature of Person who Mailed Envelope (Sign only in presence of notary public or clerk of court)

Subscribed and sworn to before me on

, 20

.

Notary Public/Clerk of Court If Notary: Commission expires:

.