UNITED STATES BANKRUPTCY COURT DISTRICT OF OREGON In re ) ) ) ) ) ) ) ) ) ) ) ) )
CERTIFICATE OF SERVICE OF SUMMONS Case No. __________________
Debtor(s)
Plaintiff(s) v.
Adv. Proc. No. ______________
Defendant(s)
I, __________________________________________________________________________ (name) of _______________________________________________________________________________ (mailing address) certify under penalty of perjury: That I am, and at all times hereinafter mentioned was, more than 18 years of age; That on __________, I served a copy of the within summons, together with the complaint filed in this proceeding AND a copy of Local Bankruptcy Rule 7026-1, on:
the defendant in this proceeding, by (describe here the mode of service):
on the said defendant at:
Executed on __________ (date) 305 (1/1/08)
___________________________________ (signature)