This statement is to be made by the person who has unsuccessfully attempted service by personal delivery or by mail.
The statement may be sworn to by a notary or made under penalty of perjury. The statement in this form is designed for signature before a notary. To adapt it to be made under penalty of perjury, see form 8-27.
Include the following notice if a minor is named in the caption, if the home address is stated in the statement, or if the statement contains other unredacted sensitive data. See § 6 of the Introduction in volume 1 of this manual concerning protection of sensitive data in filed documents. |
NOTICE: THIS DOCUMENT
CONTAINS SENSITIVE DATA
[Caption. See § 3 of the Introduction in volume 1 of this manual.]
Statement of Attempted Personal Service
[Name] appeared in person before me today and stated under oath:
“My name is [name]. I am above the age of eighteen years, and I am fully competent to make this statement. The facts stated are within my personal knowledge and are true and correct.
“I have attempted to serve [name of person entitled to citation] in this case personally or by [registered/certified] mail at the address[es] and on the days and times shown below:
Specify for each attempt the date, the time, the type of service, the address, and the result. |
“Following are the locations where [name of person entitled to citation] can probably be found: [list each location separately].
“I am qualified to serve process in this case as required under rule 103, Texas Rules of Civil Procedure.”
[Name]
SIGNED under oath before me on ______________________________.
Notary Public, State of Texas