SERVICE AFFIDAVIT

(Connecticut – General Civil & Family Matters)

TABLE OF CONTENTS

I. Document Header
II. Definitions
III. Affiant Statements (Operative Provisions)
IV. Additional Representations & Warranties
V. Execution Block

I. DOCUMENT HEADER

Caption:
SUPERIOR COURT OF CONNECTICUT
JUDICIAL DISTRICT OF [JUDICIAL DISTRICT]
AT [VENUE]

[PLAINTIFF]
v. Docket No. [DOCKET NO.]
[DEFENDANT]

AFFIDAVIT OF SERVICE
(Return of Service)

Recitals:
This Affidavit of Service (“Affidavit”) is executed on this ___ day of __________, 20___ (“Effective Date”) within the State of Connecticut pursuant to, inter alia, Conn. Gen. Stat. §§ 52-46 & 52-57 (governing timing and manner of service of civil process).

II. DEFINITIONS

For ease of reference, the following terms shall have the meanings set forth below.
1. “Affiant” – The individual executing this Affidavit, being duly authorized under Connecticut law to serve civil process (e.g., State Marshal, Constable, Indifferent Person).
2. “Documents” – Collectively, the writ, summons, complaint, notice, subpoena, or other legal papers identified in Section III(2) below.
3. “Service Method” – The legally permissible manner of service actually employed, as detailed in Section III(4) (e.g., Personal/In-Hand, Abode, Corporate Agent, Registered Agent, Certified Mail, or Substitute Service).
4. “Statutory Deadline” – The minimum period prior to the designated return date within which service must be completed under applicable Connecticut law (typically not fewer than twelve (12) days for civil process).

III. AFFIANT STATEMENTS (OPERATIVE PROVISIONS)

1. Qualification of Affiant
   I, [FULL LEGAL NAME], am over eighteen (18) years of age, competent to testify, not a party to the above-captioned action, and duly authorized to serve process in the State of Connecticut in my capacity as a [STATE MARSHAL / CONSTABLE / INDifferent PERSON].

2. Documents Served
   On [DATE OF SERVICE], I received for service the following Documents:
   a. [e.g., “Writ, Summons & Complaint dated __________”];
   b. [e.g., “Motion for Pendente Lite Relief dated __________”];
   c. [ADDITIONAL DOCUMENTS, if any].

3. Person/Entity Served
   The Documents were served upon:
   • Name: [FULL NAME OR LEGAL ENTITY]
   • Capacity: [INDIVIDUAL / REGISTERED AGENT / CORPORATE OFFICER / GUARDIAN AD LITEM / ETC.]

4. Service Method Utilized
   [Select and describe only one; delete inapplicable methods.]
   a. Personal/In-Hand: I personally delivered a true and attested copy of the Documents to the above-named individual at [ADDRESS] at [TIME] a.m./p.m.
   b. Abode Service (Substitute): After due diligence, I left a true and attested copy of the Documents at the usual place of abode of the above-named individual, namely [ADDRESS], with the Documents secured in such manner as to be discoverable by the recipient.
   c. Corporate/LLC Service: I delivered a true and attested copy of the Documents to [NAME], the duly authorized [TITLE] and statutory agent for service of process of [ENTITY NAME], at [ADDRESS].
   d. Certified Mail: In accordance with statutory authorization, I sent the Documents via certified mail, return receipt requested, tracking no. [TRACKING #], on [DATE]. The signed return receipt is attached hereto as Exhibit A.
   e. Other Authorised Substitute Service: [DESCRIBE, citing specific statutory authorization if applicable].

5. Date, Time & Location of Service
   Service occurred on [DATE] at [TIME] a.m./p.m. at [FULL ADDRESS], which is located within the County of [COUNTY], State of Connecticut.

6. Attempts & Due Diligence (If Personal Service Not Achieved on First Attempt)
   a. First attempt on [DATE] at [TIME] – No response.
   b. Second attempt on [DATE] at [TIME] – No response.
   c. Service completed as described in Section III(4) above.

7. Compliance with Statutory Deadline
   The service described herein was completed not fewer than [##] days prior to the return date of [RETURN DATE], thereby satisfying the Statutory Deadline under Conn. Gen. Stat. § 52-46.

8. Fees & Costs
   Mileage: $[___.__]
   Service Fee: $[___.__]
   Total: $[___.__]

IV. ADDITIONAL REPRESENTATIONS & WARRANTIES

1. I have personal knowledge of the facts set forth herein and am competent to testify thereto.
2. All statements made in this Affidavit are true and correct to the best of my knowledge, information, and belief, and are made under penalty of false statement pursuant to Conn. Gen. Stat. § 53a-157b.
3. I effected service strictly in accordance with the Connecticut General Statutes and the Connecticut Practice Book, including all provisions governing:
   a. Authorized Service Methods;
   b. Timing Requirements; and
   c. Substitute or Abode Service where applicable.

V. EXECUTION BLOCK

__________________________________ Date: ___________________
[AFFIANT NAME], [TITLE]
[STATE MARSHAL NO./BADGE NO., if any]
[BUSINESS ADDRESS]
[BUSINESS TELEPHONE]
[EMAIL ADDRESS (optional)]
State of Connecticut )
County of [COUNTY] ) ss. [TOWN/CITY], on this ___ day of __________, 20___

Subscribed and sworn to (or affirmed) before me, the undersigned authority, by the above-named Affiant who is personally known to me or has produced satisfactory identification and who took an oath (or affirmed) that the foregoing is true and correct.

__________________________________
Notary Public / Commissioner of the Superior Court
My Commission Expires: ________________

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