If the defendant is an individual, plaintiff states and declares that:
Defendant is not on active military service. Plaintiff's statement that Defendant is not on active
military service is based upon the following facts: *if you know they are not in the military
OR
Plaintiff is unable to determine whether or not Defendant is not on active military service
military service. *if yes, or unsure if they are in the military
("Active military service" includes fulltime duty in the military (including the National Guard and
reserves) and, for members of the National Guard, service under a call to active service authorized by
the President or Secretary of Defense. For further information, see the definition of "military service" in
the Servicemembers Civil Relief Act, as amended, 50 U.S.C.A. Appx. § 521.)
I swear or affirm under the penalties of perjury that the foregoing representations are true.
Dated:
Date
Signature of Affiant:
Your Signature