RETURN OF SERVICE
I, is not a party to Civil Action No. , at copy of this Notice of Relocation on the at o'clock .m. day of , an individual over the age of 18 years, who , personally served address with a ,20 ,
Signature Please print your name on this line so that it can be easily read Address of server:
STATE OF W EST VIRGINIA, COUNTY OF , to-wit: This Return of Service was signed before this My commission expires: day of , .
Notary public
SCA -F-132 (12/01)
Return of Service