Fill and Sign the Cc 3 5doc Form

Nebraska State Court Form AFFIDAVIT OF MAILING PUBLISHED NOTICE DC 6:6.8 Rev. 06/19 Neb. Rev. Stat. § 25-520.01 IN THE DISTRICT COURT OF COUNTY, NEBRASKA Type of Case - Check only one: ✔ Case for Divorce Case for Emancipation Name change for a Minor Name change for an Adult Case No. ___________________________ Plaintiff vs. AFFIDAVIT OF MAILING PUBLISHED NOTICE ___________________________ Defendant STATE OF NEBRASKA ) ) ss. COUNTY OF: ________________ ) I, _____________________________, being first duly sworn on oath, state as follows: 1. On _________________________, this court authorized me to serve notice of this case by publication. 2. The _______________________ newspaper published notice of this case, for the first time, on ____________________. 3. On ____________________, I mailed a copy of the published notice to the following person(s) at the following address(es): Name: Address: ____________________ ______________________________________________ ____________________ ______________________________________________ ____________________ ______________________________________________  Additional names and addresses provided on a separate sheet if necessary. Page 1 of 2 Affidavit of Mailing of Published Notice DC 6:6.8 Rev. 06/19 4. I have undertaken diligent investigation to locate any other person(s) appearing to have a legal interest in this matter. I am unaware of any such person(s). Date Signature Name Street Address/P.O. Box Bar Number and Firm Name (attorneys only) City/State/ZIP Code Phone E-mail Address SUBSCRIBED AND SWORN TO before me by _____________________________on this ___________day of ____________, 20____. ______________________________ Notary Public Page 2 of 2 Affidavit of Mailing of Published Notice DC 6:6.8 Rev. 06/19