Fill and Sign the Affidavit Return of Service for Writ of Execution Single Form

File Stam p AFFIDAVIT – RETURN OF SERVICE FOR DEBTOR PACKET Court Location: Case No. Case Name: I solemnly swear or affirm that the fo llowing facts are true to the best of my knowledge: I personally served the following documents by handing them to and leaving a true and corr ect copy with the person named below: Debtor Packet for Executing on Property ● Copy of Creditor's Affi davit (CIV-505) dated ● Notice of Levy & Sale of Property & No tice of Right to Exemptions (CIV-510) ● Claim of Exemptions (CIV-515) ● Judgment Debtor Booklet (CIV-511) Debtor Packet for Garnishing Earnings ● Notice of Garnishment and Notice of Right to Exemptions (CIV-530) ● Claim of Exemption from Garnishment (CIV-531) Debtor’s Name: Address: Date and time of service: Fees authorized by Administrative Rule 11 and incurred by creditor: 1 Service Fee [Rule 11(a)(1)(ii)]: $ Fee for Excess Hours [R ule 11(a)(1)(iii)]: $ (Total hours to obtain service: ) Mileage Fee [Rule 11(a)(7)] : $ Fee for Excess Mileage [Rule 11(a)(7)]: $ (Total miles traveled to obtain service: ) TOTAL FEES (recoverabl e from debtor): $ Return Date Signature Print Name Subscribed and sworn to or affirmed before me at , Alaska on . (SEAL) Clerk of Court, Notary Public, or other person authorized to administer oaths. My commission expires CIV-567 (8/10)(cs) Civ. Rule 69 (g)(5)(A)(ii) and Admin. Rule 11 AFFIDAVIT – RETURN OF SE RVICE FOR DEBTOR PACKET Process server notes: 1 Fees may include local taxes but may not exce ed the Rule 11 maximums. Civ. R. 79(f)(16) and Adm. R. 11.