(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