[Insert caption.]

AFFIDAVIT

STATE OF MICHIGAN
______COUNTY / )
)

______, being sworn, says:

1. I am [an employee of ______, a firm engaged in the business of serving process / a person engaged to serve process in this action]. I make this affidavit in support of Plaintiff’s motion for service of process on defendant’s insurance carrier.

2. I am fully familiar with the facts stated in this affidavit and, if sworn as a witness, am competent to testify to them.

3. On [date], I received a summons and a copy of the complaint in this action from ______, counsel for Plaintiff, along with instructions to serve process on Defendant ______as soon as possible.

4. I made the following attempts to locate and serve him:

a. On [date], I went to his address as given to me by Plaintiff’s counsel. A woman at that address, who refused to give her name, indicated that she purchased the home after the date of the accident at issue in this case and that she did not know Defendant or have any knowledge of his whereabouts.

b. On [date], I telephoned the Union Street, Detroit, Michigan, post office, which serves the area of Defendant’s address, and requested information on his forwarding address. I was told that there was no forwarding address on file.

c. On [date], I telephoned the information service of Ameritech, requesting any listing for Defendant in Detroit or its suburbs, giving the operator all possible combinations of name, including initials. The operator informed me that no listing was available.

d. On [date], I telephoned the personnel department of Wilcox Industries, his last known place of employment, and was told that he had left the company and had provided no forwarding address.

e. On [date], I went to the business location of Wilcox Industries, which opens for business at 9:00 a.m., and watched all persons going inside between 7:00 a.m. and 10:00 a.m., but did not see a person matching Defendant’s description as given to me by Plaintiff’s counsel.

f. [Optional] On [date], using the information provided to me, I conducted an online search of the Internet [optional—specify search engines used], including such links as telephone look-up, none of which provided new, different, or additional information about the defendant’s whereabouts.

/s/______
[Typed name and address]
Affiant
Subscribed and sworn to before me on [date].
/s/______
[Notary public’s name, as it appears on application for commission]
Notary public, State of Michigan, County of [county].
My commission expires [date].
[If acting in county other than county of commission: Acting in the County of [county].]