Fill and Sign the Constructive Service Form

IN THE ___________ COURT OF _______________ (County) , ________________ (State) _________________ PETITIONER V. CAUSE NO. ____________ _________________ RESPONDENT State of ________________ County of ________________ PERSONALLY appeared before me, the undersigned authority in and for said county and state, ____________________ (Petitioner’s Name) , who, having been being first duty sworn by the undersigned Notary Public, deposes and says: 1. I am the mother of _______________ (name of child) , an infant born on or about ________________ (date) , in ________________________________________________ ( city, county, state) , and am the Petitioner in the above-entitled matter. 2. Respondent ______________ (Respondent’s Name) is the father of ______________ (name of child) , and the husband of Affiant. 3. ___________________ (name of child) was born on _________________ (date of birth of minor child) . 4. On or about __________________ (date of desertion) , __________________ (Respondent’s Name) deserted Affiant and his child _________________ (name of child) and has not communicated with Affiant or with said Child since that date. 5. The last known place of residence of __________________ (Respondent’s Name) was ______________________________________________________________________________ (street address, city, county, state, zip code) , but said Respondent is not residing there at the present time, and the present location of Respondent is unknown to Affiant. 6. Affiant has had a diligent search made to locate Respondent _________________ (Respondent’s Name) , but said Respondent cannot be located. Attached to this affidavit is the affidavit of _____________________ (name of person who made search) , who made the search on behalf of Affiant. WHEREFORE, Petitioner requests that citation for service by publication on __________________ be issued, pursuant to ____________________ (citation to state statute) . ___________________________________ (Print Name of Petitioner) SWORN to and subscribed before me, this the ______ day of ______________, 20____. _____________________________ NOTARY PUBLIC My Commission Expires: __________________