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Fillable Online Courts Alaska Civ 622 Affidavit of Attempted Form

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File Stam p AFFIDAVIT OF ATTEMPTED SERVICE UNSERVED DOCUMENTS Court Location: Case No. Case Name: I solemnly swear (or affirm) that the following facts are true to the best of my knowledge: I attempted to serve the following do cuments on the person named below: Documents: Person’s Name: Title: Company or other entity: Address: I was unable to serve the above documents because: Fees authorized by Administrative Rule 11 and incurred by creditor: 1 Mileage Fee [Rule 11(a)(7)]: $ Fee for Excess Mileage [Rule 11(a)(7)]: $ (Total Miles Traveled to Attempt 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 1 Fees may include local taxes but may not exce ed the Rule 11 maximums. Civ. R. 79(f)(16) and Adm. R. 11. CIV-622 (8/10)(cs) Adm. Rule 11 AFFIDAVIT OF ATTEMPTED SERVICE UNSERVED DOCUMENTS

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