Return on Service
I received this notice at ________________ (time) on
_______________________ (date), and on __________________
(date), at __________________ (time) , I served it on the
within-named ___________________________ (name of tenant)in
the manner described below. (Check One)
_____ By leaving it with some person above the age of 18
years residing on or in possession of the premises.
_____ By posting it on the front door of the premises.
Done this ________ day of ___________________, 20_____.
(Signature of Server)
Sworn to and subscribed before me this ______ day of
My Commission Expires: