STATE OF HAWAI`I CIRCUIT COURT OF THE THIRD CIRCUIT
RETURN AND ACKNOWLEDGMENT OF SERVICE
CASE NUMBER
DOCUMENTS SERVED:
I, Sheriff/Police Officer of the State of Hawai`i do hereby certify that I received a certified copy of the documents listed above and that I served the same on ____________________________________________________________
(name of party)
on ___________________________ at ______________________________ at ____________________________
(date) (address) (time)
______________________________________________________________ within the State of Hawai`i as follows:
PERSONAL: By delivering to and leaving with __________________________________________, personally. SUBSTITUTE: [HRCP 4(d) (1) (A)] After due and diligent search and inquiry, I served above-named defendant SUBSTITUTE: [HRCP 4(d) (1) (B)] I served above-named defendant through ___________________________,
authorized agent to receive service of process for said defendant. through __________________________________________________, a person of suitable age and discretion then residing at said party's usual place of abode, since the defendant could not be found.
BUSINESS/CORPORATION/GOVERNMENTAL ENTITY: On ______________________________________
(name of business/corp/entity)
_______________________by serving through ____________________________________________________ ,
(name of person served)
__________________________, who is the _______________________________________ and authorized agent
(postition/title)
of said Business/Corporation/Governmental Entity.
GARNISHMENT: I served ____________________________________________ through _______________
(name of garnishee)
_____________________________________ who is authorized to accept service for the above-named garnishee.
(name of person served)
NOT FOUND: After due and diligent search and inquiry, I am unable to find ___________________________ .
(name of party)
Attorney (Name, I.D. No., Address, Phone)
Date:
Sheriff/Police Officer (type or print)
Signature
In accordance with the Americans with Disabilities Act and other applicable state and federal laws, if you require a reasonable accommodation for a disability, please contact the ADA Coordinator at the Circuit Court Administration Office at PHONE NO. 961-7440, FAX 961-7416, or TTY 961-7525 at least ten (10) working days prior to your hearing or appointment date.
Reprographics (03/07) RETURN AND ACKNOWLEDGMENT OF SERVICE 3C-P-144
SUBSCRIBED AND SWORN TO BEFORE ME THIS DATE: _____________________________ IN _________________ , HAWAI`I
NOTARY PUBLIC'S SIGNATURE: _________________________________ STATE OF HAWAI`I
MY COMMISSION EXPIRES:
ACKNOWLEDGMENT OF SERVICE __________________________________________________________________________________________ (signature of person served) (date) (time) __________________________________________________________________________________________ __________________________________________________________________________________________
CLEAR
Reprographics (03/07)
RETURN AND ACKNOWLEDGMENT OF SERVICE 3C-P-144