Claim # Provincial Court of Saskatchewan Judicial Centre of Saskatoon




Дата канвертавання25.04.2016
Памер19.47 Kb.
(Form may be increased to 2 or more pages. Be concise.) Claim #_________

Provincial Court of Saskatchewan

Judicial Centre of Saskatoon

The Small Claims Act
BETWEEN


Type or print name(s) of Plaintiff(s)
PLAINTIFF(S)

and

Type or print name(s) of Defendant(s)

DEFENDANT(S)


AFFIDAVIT OF SERVICE BY FAX

Not for use when serving Summons & Statement of Claim Package

I, of ,



Type or print name of person serving documents Type or print street or R.R. & Box #
__________________________________, Saskatchewan, make oath and say that:


1. I served___________________________________ with a true copy of the following documents:

Type or print name of person/corporation served


Check the documents served as applicable: ____ Document List

____ Trial Statement

____ Statement of Defence

____ Counterclaim

____ Specify _________________________________

These documents have been filed with the Court.


2. I carried out service by faxing these documents to: _______________________________________

Type or print fax number


3. Attached to this affidavit is the Transmission Record or Journal generated by the fax machine that states that the date of transmission was the ________ day of ___________________, 20____ and

that the transmission was successful.


4. The basis of my information and belief as to the fax number of the person/corporation served is:
SWORN before me at

Saskatchewan this day of 20

__________________________________________ ______________________________________

Signature of person who served the document(s)


A Commissioner for Oaths in and for the Province of

Saskatchewan, being a solicitor, or


My appointment expires ______________, 20____ ______________________________________ Type or print name of person who served the document(s)







F7.3 Affidavit of Service by Fax – Provincial Court at Saskatoon / July 23/2013





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