Fill and Sign the 12 1581 Private Process Servers Licensing Qualifications Form

In the District Court of ______________________ County State of Oklahoma Re: Application of ______________________ ) for License as a County Private ) No. _______________ Process Server ) Application Name of Applicant ____________________________________________________________________ All Other Names Presently or Previously Used _________________________________________________ Residence Address ____________________________________________________________________ City ________________________ State ___________ Zip ____________ Residence Phone ____________________________________________________________________ Business Address ____________________________________________________________________ City ________________________ State ___________ Zip ____________ Business Phone ____________________________________________________________________ Social Security Number ____________________________________________________________________ Driver’s License No. ____________________________________________________________________ Applicant hereby applies for a license as a private process server to serve process issued by this court in civil cases for service within the State of Oklahoma, in accordance with the provisions of 12 O.S. § 158.1. Applicant avers that (s)he is eighteen (18) years of age or older, possesses good moral character, and should be deemed ethically and mentally fit to obtain this license. Once found qualified for the license sought hereby, applicant will execute the required statutory bond for faithful performance of his duties and will abide by all the provisions of the applicable law. Supplied herewith are: ( check applicable paragraph) ____ Original application fee of Thirty–Five Dollars ($35.00 ) and the court costs as provided by law. ____ R enewal of original appl ication fee of Five Dollars ($5.00). ____ Photograph (if required). Dated ___________________________ By ______________________________________________ Verification State of Oklahoma ) ) SS County of ____________________ ) I, ________________________________________, of lawful age and being duly sworn, states that (s)he has read the foregoing Application, that (s)he is familiar with the contents thereof, and that the statements set forth therein are true and correct. Subscribed and sworn to before me on _________________________________________. ___________________________________ AOC Form 11; Revised 9/05 C ourt C le rk