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This document serves as an affidavit confirming the service of certain documents related to the bankruptcy case of Cynergy Data, LLC and associated debtors, detailing recipients and addresses for
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How to fill out affidavit of service

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How to fill out AFFIDAVIT OF SERVICE

01
Begin by entering the court name at the top of the document.
02
Fill in the case number, if applicable.
03
Write the names of the parties involved in the case.
04
State your name and address as the person completing the affidavit.
05
Specify the method of service used (e.g., personal delivery, mail, etc.).
06
Include details about when and where the service was made.
07
Provide any additional relevant details about the service.
08
Sign and date the affidavit in front of a notary public.

Who needs AFFIDAVIT OF SERVICE?

01
Individuals or entities involved in legal proceedings who must provide proof of service.
02
Plaintiffs and defendants in civil cases.
03
Lawyers and legal professionals handling court documents.
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I-864P, 2025 HHS Poverty Guidelines for Affidavit of Support Sponsor's Household Size100% of HHS Poverty Guidelines*125% of HHS Poverty Guidelines* 2 $24,320 $30,400 3 $30,650 $38,312 4 $36,980 $46,225 5 $43,310 $54,1375 more rows • Feb 28, 2025
An Affidavit of Support, also called the Form I-864, is a document an individual signs to accept financial responsibility for the applicant who is coming to live in the United States. The person who signs the Affidavit of Support is also called the “sponsor.”
How to write an affidavit. Title. This is either your name (“Affidavit of Jane Doe”) or the specific case information. Statement of identity. The next paragraph tells the court about yourself. Statement of truth. Statement of facts. Closing statement of truth. Sign and notarize.
Affidavit refers to a written promise, and its Latin roots connect it to another kind of promise in English. It comes from a past tense form of the Latin verb affidare, meaning “to pledge”; in Latin, affidavit translates to “he or she has made a pledge.”
Before me, a Notary Public in and for said County and State, hereby certify that , personally known to me to be the affiant in the foregoing affidavit, personally appeared before me this day and having been by me duly sworn deposes and says that the facts set forth in the above affidavit
For ALL sponsors: A copy of your individual federal income tax return, including W-2s for the most recent tax year, or a statement and/or evidence describing why you were not required to file. Also include a copy of every Form 1099, schedule, and any other evidence of reported income.
The Affidavit letter should be a personal declaration that includes: The name, date and place of birth, phone number, and address of the affiant (person writing the letter). The history of the personal relationship with the applicant.
An Affidavit of Support, also called the Form I-864, is a document an individual signs to accept financial responsibility for the applicant who is coming to live in the United States.

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An Affidavit of Service is a legal document that confirms that a particular document, such as a summons or complaint, has been delivered to a specific individual.
Typically, the party that has served the legal documents is required to file the Affidavit of Service with the court.
To fill out an Affidavit of Service, you should include the names of the parties involved, the date and time of service, the method of service, and the signature of the server, often notarized.
The purpose of the Affidavit of Service is to provide proof that legal documents have been properly served, ensuring that the court is aware that the opposing party has received the necessary information to respond or act.
The Affidavit of Service must report the name and address of the person served, the date and time of service, the method of service, the name of the individual who served the documents, and any other pertinent details regarding the service.
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