Arkansas Bankruptcy Certification of Service Form

In the case of a bankruptcy process that is taking place in the State of Arkansas, the use of this form is required. This form needs to be shown in the court responsible for the bankruptcy that is being filed.

Extracted Text for Proper Search

In the United States Bankruptcy Court	
                                                                        \�      District of Arkansas
In Re:	Bankruptcy Case No:	
Debtor(s)	
Plaintiff(s)	
vs.	Adversary Proceeding No:	
Defendant(s)	
Certificate of Service	
I,                                                                          ,  certify  that I am,  and at all  times  during  the service  of
process was, not less than 18 years of age and not a party to the matter\� concerning which service of
process  was made.   I  further  certify that service  of the  summons  and a copy  of the  complaint,  in the
above-styled case, was made                                             \�                      by:	
Mail service: Regular, first class United States mail, postage fully pre\�-paid, addressed to:
Personal  Service: By leaving  the process  with defendant  or with  an officer  or agent  of defendant
at:
Residence  Service: By leaving  the process  with the following  person of suitable  age and
discretion (then residing therein) at:
Publication: The defendant was served as follows: [Describe briefly]
State  Law:  The defendant  was served  pursuant  to the  laws  of the  State  of                      ,
as follows: [Describe briefly]	
Under penalty of perjury, I declare that the foregoing is true and corre\�ct.	
Signature: /s/	
Dated: