Read Fcv120 text version

STATE OF NORTH CAROLINA

County

Name Of Plaintiff

File No.

In The General Court Of Justice District Court Division

AFFIDAVIT OF SERVICE BY

VERSUS

Name Of Defendant

REGISTERED MAIL CERTIFIED MAIL DESIGNATED DELIVERY SERVICE

G.S. 1A-1, Rule 4 (j2)

I, the undersigned, did mail by registered mail certified mail (return receipt requested), designated delivery service, a copy of the foreign child custody order and Notice of Registration of Foreign Child Custody Order filed by plaintiff in the above captioned action to (name of person to be served), addressed as follows:

Further, that copies of the foreign child custody order were in fact received by the person to be served on (date of receipt) , as evidenced by the attached original receipt. (Attach original receipt to this affidavit.)

Signature Of Plaintiff/Attorney

SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME

Date Signature Of Person Authorized To Administer Oaths Name (Type Or Print)

Date My Commission Expires Notary County Where Notarized

SEAL

AOC-CV-662, New 12/06 © 2006 Administrative Office of the Courts

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Fcv120

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