I,(full legal name) ______________________________ (individually or an Employee of ), being sworn, certify that the following information is true:
1. I have made diligent search and inquiry to discover the current residence of , who is [over 18 years old] [under 18 years old] [age is unknown] (circle one). Refer to checklist below and identify all actions taken (any additional information included such as the date the action was taken and the person with whom you spoke is helpful) (attach additional sheet if necessary):
[check all that apply]
_____ Inquiry of Social Security Information
_____ Telephone listings in the last known locations of defendant’s residence
_____ Statewide directory assistance search
_____ Internet people finder search {specify sites searched}
_____ Voter registration in the area where defendant was last known to reside.
_____ Nationwide Masterfile Death Search
_____ Tax Collector’s records in area where defendant was last known to reside.
_____ Tax Assessor’s records in area where defendant was last known to reside
_____ Department of Motor vehicle records in the state of defendant’s last known address
_____ Driver’s License records search in the state of defendant’s last known address.
_____ Department of Corrections records in the state of defendant’s last known address.
_____ Federal Prison records search.
_____ Regulatory agencies for professional or occupation licensing.
_____ Inquiry to determine if defendant is in military service.
_____ Last known employment of defendant.
{List all additional efforts made to locate defendant}
_______________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
Attempts to Serve Process and Results
_________________________________________________________
_________________________________________________________
_________________________________________________________
_____ I inquired of the occupant of the premises whether the occupant knows the location of the borrower-defendant, with the following results:
____________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
2. _______________________ current residence
[check one only]
_____ a. __________________’s currents residence is unknown to me
_____ b. __________________’s currents residence is in some state or county ___________ other than Florida and _________ ‘s last known address is
_________________________________________________________
_________________________________________________________
_____ c. The ____________ , having residence in Florida, has been absent from Florida for more than 60 days proor to the date of this affidavit, or conceal him (her) self so that process cannot be served personal upon him or her, an I belive that there is no person in that state upon whom service of process would bind this absent or concealed __________.
I understand that I am swearing or affirming under oath to the truthfulness of the claims made in this affidavit and that the punishment for knowingly making a false statement includes fines and/or imprisonment.
Dated: _______________ _________________
Signature of Affiant
Printed Name: __________
Address: ________
City, State, Zip: _________
Phone: _________
STATE OF __________________
COUNTY OF ____________________
Sworn to or affirmed and signed before me on this day of _______ , 20 __ by ______________________.
______________
NOTARY PUBLIC
STATE OF _________
_________________________
(Print, Type, or Stamp Commissioned
Name of Notary Public)
_____ Personally known
_____ Produced identification
_____ Type of identification produced ________________.
NOTE:
This form is used to obtain constructive service on the defendant.