(This form may be increased in size, provided it is concise.) Claim #______
Provincial Court of Saskatchewan
Judicial Centre of Saskatoon
The Small Claims Act
BETWEEN
______
Type or print name(s) of Plaintiff(s)
PLAINTIFF(S)
and
______
Type or print name(s) of Defendant(s)
DEFENDANT(S)
AFFIDAVIT OF SERVICE
Ordinary Mail or Registered MailService - Court formatted
I ______, of ______
(Type or print name of person serving document(s)) (Type or print: street or R.R. & Box #)
______, Saskatchewan, make oath and say that:
(Type or print city)
1.I served ______with a true copy of the following:
(Type or print name of person served)
Check the documents served, as applicable: ____Summons (Court provided)
____Order to File(Court provided)
____Checklist (Court provided)
____Statement of Claim
____Document List
____Trial Statement
____Statement of Defence
____Counterclaim ____Specify______
These documents were provided by the Court or have been filed with the Court.
Ordinary Mail Service (complete this section or the registered mail service section)
2.1On the ______day of ______, 20 ______, I mailed these documents to the
above named person / corporation, at the following address:(Type or print postal address.)
3.1The basis of my information and belief as to the postal address of the addressee is:
____I used the address provided on the Summons.
____ Other means specified:
______
Registered Mail Service
2.2I served these documents by registered mail upon the above named person / corporation, addressed as follows: (Print or type name and address of person / corporationto whom it was sent.)
3.2Attached to this affidavit is the Canada Post Customer Receipt Document, bearing Item No.
______and the Canada Post tracking document, bearing a Tracking Number which is
the same as the said Item No. The tracking document indicates that the documents were
successfully delivered on the ______day of ______, 20______and the name of the signatory to be:
______
(Type or print the name indicated under Signatory Name)
Or where the tracking document indicates service was not successful, state:
I was unable to serve the documents. The tracking document shows that as at
______20_____ the documents had not been successfully delivered.
4.2The basis of my information and belief as to the postal address of the addressee is:
______
Sworn before me at ______,
Saskatchewan this ___ day of ______, 20 ___
______
A Commissioner for Oaths in and for the Province (Signature of person who served the document(s))
of Saskatchewan, being a Solicitor, or
My appointment expires: ______, 20______
(Type or print name of person who served the document(s))
1 / F7.7Provincial Court at Saskatoon- Affidavit –ordinary or registered mail service / July 23/2013