Provincial Court Province of Saskatchewan
AFFIDAVIT OF PERSONAL SERVICE The Small Claims Act (Clause 16(1)(a))
BETWEEN Plaintiff and Defendant Affidavit of Personal Service I, _________________________________ of ______________________________________, (your name) (your address) in the Province of Saskatchewan, make oath and say: 1.
That on the _____ day of_____________ , _______ I personally served
_______________________________ with a true copy of the Summons and Statement of Plaintiff’s Claim (name of person served) attached to this affidavit, by leaving a true copy with the Defendant at: ____________________________________________________________________________________ ____________________________________________________________________________________ (address).
2.
That my means of knowledge as to the identity of ________________________________________ (name of person served)
is as follows: _________________________________________________________________________ ____________________________________________________________________________________. (state how you know it was the Defendant)
3.
That to effect service I necessarily traveled _______________ kilometres.
SWORN before me at _______________________ ) Saskatchewan this___ day of ___________, 20____ ) ) ) _________________________________________ ) A Commissioner for Oaths in and for Saskatchewan or being a solicitor. My appointment expires: _____________________
___________________________________ (signature)