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2. Person Being Served
4. First and Last Name*
6. Physical Address*
   Include Apartment Number If Applicable
7. City*
9. State*
10. Zip Code*
12. Cell Phone
13. Home Phone
15. Employer
16. Employer Address
    Include City and Zip Code
18. Work Days / Hours
19. Work Phone
21. Facebook Name
22. Email Address
24. Are there dogs on the property?

    1. Yes
    2. No
25. Are They Fenced in?

    1. Yes
    2. No
26. Is There a Locked Gate?

    1. Yes
    2. No
27. Are There Weapons on the Property?

    1. Yes
    2. No
31. Physical Description of Person Being Served
33. Height
34. Weight
35. Race
37. Eye Color
38. Hair Color
39. Distinguishing Features
    Tattoos, Piercings, Scars, etc.
41. Vehicle Description
43. Make / Model
44. License Plate
45. Color
47. Year
48. Stickers
50. Does This Person Have a History of Violence? Any Other Information to Help in the Service the Deputy Should Be Aware of? Explain
54. Person Requesting Service
56. First and Last Name
57. Mailing Address
    Include City, State and Zip Code
59. Phone Number
60. Email Address

62. **If billing is required return will not be send to the court until payment has been made**

    We only accept cash, check or money order at this time. However, we are working with the County Treasurer to be able to accept credit cards in the future.

Leave This Blank:


64. 1. Receive an email copy of this form.
65. Email address

    This field is not part of the form submission.

66. Submit

* indicates a required field