SAMPLE Acknowledgement of Service

BRIAN D. ITON
Attorney at Law
700 E Palisade Ave #101
Englewood Cliffs, NJ 07632
Tel: (201) 731-3086
Fax: (201) 541-6674
Attorney for Plaintiff


__________________________________
PLAINTIFF’S NAME,

Plaintiff,

vs.
DEFENDANT’S NAME,

Defendant.

___________________________________

SUPERIOR COURT OF NEW JERSEY
CHANCERY DIVISION:
FAMILY PART
_______________COUNTY

DOCKET NO.: FM-

Civil Action

ACKNOWLEDGMENT OF SERVICE


ACKNOWLEDGMENT OF SERVICE

Service of the Summons and Complaint for Divorce with insurance affidavits are hereby acknowledged this _____________ day of _________________ 201____.

______________________________________
DEFENDANT’S NAME

STATE OF NEW JERSEY    )

) ss:

COUNTY OF                         )

I certify that on ________________, 201___, DEFENDANT’S NAME, personally came before me and acknowledged under oath to my satisfaction, that he/she is the person who is named in and personally signed the above Acknowledgment of Service.

_______________________________
Notary Stamp and Seal