Fill and Sign the Mississippi Proof Form

PROOF OF SERVICE - SUMMONS       (Name of Person or Entity Served) I, the undersigned process serve, served the summons and complaint upon the person or entity named above in the manner set forth below (process server must check proper space and provide all additional information that is requested and pertinent to the mode of service used): ( ) FIRST CLASS MAIL AND ACKNOWLEDGEMENT SERVICE. By mailing (by first class mail, postage prepaid), on the date stated in the attached Notice, copies to the person served, together with copies of the form of notice and acknowledgement and return envelope, postage prepaid, addressed to the sender (Attach completed acknowledgement of receipt pursuant to M.R.C.P. Form 1B). ( ) PERSONAL SERVICE. I personally delivered copies of the summons and complaint on the       day of       , 20       , to:       , where I found said person(s) in       County of the State of Mississippi. ( ) RESIDENCE SERVICE. After exercising reasonable diligence, I was unable to deliver copies of the summons and complaint to       within       County, Mississippi. I served the summons and complaint on the       day of       , 20       , at the usual place of abode of said       by leaving a true copy of the summons and complaint with       , who is the       (husband, wife, son, daughter, etc), a member of the family of the person served above the age of sixteen years and willing to receive the summons and complaint, and thereafter on the       day of       , 20       , I mailed (by first class mail, postage prepaid) copies to the person served at his or her usual place of abode where the copies were left. ( ) CERTIFIED MAIL SERVICE. By mailing to an address outside Mississippi (by first class mail, postage prepaid, requiring a return receipt) copies to the person served. (Attach signed return receipt or other evidence of actual delivery to the person served). At the time of the service I was at least 18 years of age and not a party to this action. Fee for service: $       Process server must list below: (Please print or type) Name:       Social Security No.       Address:             Telephone No.       STATE OF MISSISSIPPI COUNTY OF ** Personally appeared before me the undersigned authority in and for the state and county aforesaid, the within named       who being first by me duly sworn states on oath that the matters and facts set forth in the foregoing "Proof of Service-Summons" are true and correct as therein stated.       Process Server (Signature) Sworn to and subscribed before me this the       day of       , 20       ________________________________ Notary Public My Commission Expires: _______________________