STATE OF INDIANA
)
)SS:
COUNTY OF DELAWARE
)
IN THE DELAWARE CIRCUIT COURT NO.
Plaintiff/Petitioner
CAUSE NO.
vs.
Defendant/Respondent
AFFIDAVIT FOR CITATION
Comes now the plaintiff in the above-captioned case, under penalties for perjury, states as follows:
I SWEAR OR AFFIRM UNDER THE PENALTY OF PERJURY THAT THE FOREGOING REPRESENTATIONS ARE TRUE AND CORRECT.
DATED:
Signature of Plaintiff/Petitioner
Address (Street)
(City, State, Zip)
Phone Number