Certificate of Service: Respondent

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CERTIFICATE OF SERVICE

On Month _____, 2021, I mailed a presentment to:

ATT’N: C.F.O. for


COMPANY NAME HERE
1234 THEIR ADDRESS ST.
CITY, ST 12345
Respondent

The mailing contains the following items:

1. Document 1
2. Document 2
3. Document 3
4. Document 4
5. Document 5
6. Document 6…
7. …
8. …

The certified mailing number for this presentment is:

XXXX XXXX XXXX XXXX XXXX

I am over the age of 18 and not a party to the transaction regarding the papers I mailed.
(Leave this if a witness is serving your papers.)

I hereby certify the above-mentioned has been duly executed on this day.

**if using a notary presenter**


Send all responses / correspondence to: ______________________________
First-Middle: Last
Notary Name Attorney in Fact
Notary Public
c/o 1234 Notary Address St.
City, State Republic [12345]

1
WITNESSES

The below-signed witnesses hereby certify that this has been duly executed.

__________________________ ____________________________
Witness #1 Witness #2

___________________________ ____________________________
Printed Name Printed Name

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