I, (full legal name) (individually or an Employee of), being sworn, certify that the following information is true:
[check all that apply]
_____ Inquiry of Social Security Information
_____ Telephone listings in the last known locations of defendant's residence
_____ Statewide directory assistance search
_____ Internet people finder search {specify sites searched}
_____ Voter registration in the area where defendant was last known to reside.
_____ Nationwide Masterfile Death Search
_____ Tax Collector's records in area where defendant was last known to reside.
_____ Tax Assessor's records in area where defendant was last known to reside
_____ Department of Motor vehicle records in the state of defendant's last known address
_____ Driver's License records search in the state of defendant's last known address.
_____ Department of Corrections records in the state of defendant's last known address.
_____ Federal Prison records search.
_____ Regulatory agencies for professional or occupation licensing.
_____ Inquiry to determine if defendant is in military service.
_____ Last known employment of defendant.
{List all additional efforts made to locate defendant}
_______________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
Attempts to Serve Process and Results
_________________________________________________________
_________________________________________________________
_________________________________________________________
_____ I inquired of the occupant of the premises whether the occupant knows the location of the borrower-defendant, with the following results:
____________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_____ a. __________________'s currents residence is unknown to me
_____ b. __________________'s currents residence is in some state or county ___________ other than Florida and _________ 's last known address is
_________________________________________________________
_________________________________________________________
_____ c. The ____________, having residence in Florida, has been absent from Florida for more than 60 days prior to the date of this affidavit, or conceal him (her) self so that process cannot be served personal upon him or her, an I belive that there is no person in that state upon whom service of process would bind this absent or concealed __________.
I understand that I am swearing or affirming under oath to the truthfulness of the claims made in this affidavit and that the punishment for knowingly making a false statement includes fines and/or imprisonment.
Dated: _________
_______________
Signature of Affiant
Printed Name: ___________
Address: ____________
City, State, Zip: _________
Phone: ______
STATE OF_______
COUNTY OF______
Sworn to or affirmed and signed before me on this ____day of __________, 20 ___. by ___________________.
___________________
NOTARY PUBLIC
STATE OF _________
_______________________
(Print, Type, or Stamp Commissioned
Name of Notary Public)
______ Personally known
______ Produced identification
______ Type of identification produced: ________________
Fl. R. Civ. P. form 1.924
This form is used to obtain constructive service on the defendant.