8/14/2019 Summons for Legal Separation
2/2
CLERK'S CERTIFICATE OF MAILING
hereby certify tha t on the _________________ day of
_________________, nYearo, I mailed a cop y of this summons and a
copy of the Pe
or Legal Separation to the respondent, _________________, b y
______ ___________ mail, requesting a return receipt, at the
address furn
y the petitioner.
________________________________________________________________
Clerk of nCounty where cour t is::LIKE THISonType of court::L
IKE THISo Court nIF
this court have a division numbe r?onCourt's division
number:IxonEND IFooy _________________
Deputy
Dated: _____ _____ _____ __, nYearo
RETU RN ON SERVICE OF SUMMON S BY M AIL
hereby certify that the attached return receipt was re ceived by
me showing that:
________________ (1) The summons and a copy of the Petition for
Legal Separation mailed to respondent _________________ was
acce
y the respondent on _________________
_________________ (2) The attached return receipt was received
by me showing that the summons and a copy of the Petition for
Leparation mailed to respondent _________________ was accepted by
_________________ on behalf of said responden
________________.
________________ (3) The attached return receipt was received by
me showing that the summons and a copy of the Petition for L
eparation was returned not accepted on _________________.
_________________________________________________Clerk of
nCounty w here court is::LIKE THISonType of court::L IKE THISo
Court nIF
this court have a division numbe r?onCourt's division
number:IxonEND IF
SHER IFF'S RETURN ON SERVICE O F SUMMONS
hereby certify that I have served this summons on the
_________________ day of _________________, nYearo:
(1) By delivering a copy of the summons and a copy of the
Petition for Legal Separation to the respondent,
________________
(2) By leaving a copy of the summons and a copy of the Petition
for Legal Separation at _________________, the dwel ling pla
sual place of abode of the said respondent
______________________________________________
(3) ______________________________
________________________________
heriff ofClerk o f nCounty where cour t is::LIKE THISo County,
Indiana
y _________________________________________
DeputynIF Are there support issues or related cases?onINSERT
"Summons continuantion page.wpt"onEND IFonIF Do we need Notice of
Hearing?onASSEMBLE "sep - Notice of Hearing .wpt"onEND IFonIF Do we
need an Appearance?onASSEMBLE "sep - Appearance by Attorney for
Initiating Party.wpt"onEND IFo
