Fill and Sign the Coram Nobis Form

IN THE ___________COURT OF _______________ (County), _______________ (State) In the Matter of the Petition for Writ of Error Coram Nobis of Petitioner, _____________________ (Name of Affiant)Petitioner vs. No.____________ ______________________ , Respondent Respondent (Name of Respondent) AFFIDAVIT STATE OF ____________________ COUNTY OF _______________________ PERSONALLY appeared before me, the undersigned authority in and for said county and state, ____________________ (Name of Affiant), who, having been being first duty sworn by the undersigned Notary Public, deposes and says: ___________________ (Name of Affiant), being duly sworn, deposes and says: 1. He is the moving party in the above-captioned matter. 2. This Affidavit is in support of Petitioner's Motion for Writ of Error Coram Nobis dated ___________________ (date). 3. Default was entered against Petitioner/Defendant on _________________ (date). 4. Judgment was entered against Petitioner/Defendant on ________________ (date). 5. Proof of service on Petitioner/Defendant appears in the records of this action in the form of (e.g., a declaration or an affidavit) ___________________________________ by _____________________ (name) reciting that he had personally served the Petitioner/Defendant named in the _____________________ (declaration or affidavit), and stating the date of service on Petition to have been __________________ (date). 6. Petitioner/Defendant was not served with the summons and ____________________ (Complaint or Petition) in this action at any time before the entry of the above- mentioned Default and the above-mentioned Judgment on above-mentioned default. 7. Petitioner/Defendant discovered the entry of the Judgment against him on ________________ (date), when (describe how discovered) ___________________ ______________________________________________________________________. 8. On examination of the record, Petitioner/Defendant discovered the false _____________ (declaration or affidavit) of service on ________________ (date). 9. Petitioner proceeded with diligence after discovery of the Judgment. Witness my signature this the ________________ (date). ___________________________________ (Name and Signature of Affiant) SWORN to and subscribed before me, this the ____ day of _____________, 20____. _____________________________ NOTARY PUBLIC My Commission Expires:__________________