Illinois Affidavit of Service
State of Illinois, County of ___________
Be it known that the undersigned, ___________ (Name of Server), being duly sworn, deposes and states:
- I am a resident of the State of Illinois.
- I am over the age of 18 years and not a party to this action.
- I served the following documents:
- ____________________________________
- ____________________________________
- ____________________________________
Upon the following person:
Name: _________________________________
Address: ______________________________
By the following method of service (check all that apply):
- ☐ Personal Delivery
- ☐ Mail
- ☐ Fax
- ☐ Email
- ☐ Other: ____________________________
The service was completed on ____________ (Date of Service).
Signature of Server: _______________________________
Printed Name: _________________________________
Address: _____________________________________
Phone Number: _________________________________
Subscribed and sworn to before me this ______ day of __________, 20__.
Notary Public: _________________________________
My Commission Expires: ________________________