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PROOF OF SERVICE

FILE THIS AFTER DEFENDANT HAS BEEN SERVED

LANDLORD TELEPHONE NUMBER

LANDLORD NAME AND LAST NAME

LANDLORD STREET ADDRESS

LANDLORD CITY

LANDLORD STATE

LANDLORD ZIP CODE

LANDLORD EMAIL ADDRESS

TENANT NAME AND LAST NAME

TENANT PROPERTY COMPLETE ADDRESS, WITH CITY, STATE, COUNTY, ZIP CODE

SERVER NAME AND LAST NAME

PERSON WHO SERVED MUST BE OVER 18 AND NOT NAMED ON THE CASE

SERVER COMPLETE ADDRESS

SERVER PHONE NUMBER

DATE SERVICE

TIME OF SERVICE

TODAYS DATE

SERVER SIGNATURE

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