Sample Affidavit of Service

NORTH CAROLINAIN THE GENERAL COURT OF JUSTICE
MECKLENBURG COUNTYSUPERIOR COURT DIVISION
STELLA KING) NO. 14 CVS
))
Plaintiff)DEFENDANT’S ANSWER
V.)TO PLAINTIFF’S
)COMPLAINT
DENNIS WOODS)
)
Defendant )
_________________________________________ )
I, Mariam Qasim, being first duly sworn, deposes and says:
That I am an attorney duly licensed to practice law within the State of North Carolina and I am counsel for the Plaintiff named in the above-entitled action pending before the District Court of Brunswick County, North Carolina.
A copy of the Civil Summons, Civil Action Cover Sheet and Verified Complaint filed in the above-captioned action was served on the Defendant, Dennis Woods, via United Parcel Service, “Signature Confirmation” requested, on March 18, 2014 at 10:00 am.
The Signature Delivery Notification showing delivery to the Defendant, Dennis Woods, at 500 Oops I did it Avenue, Charlotte NC 28212 is attached hereto as Exhibit “A” and incorporated herein by reference. Pursuant to NC. Gen. Stat. 1-75.10(5), this package was signed by the Defendant or agent for the Defendant.
The Signature Delivery Notification showing signature by the Defendant, Dennis Woods, is evidence that the Defendant was served with a copy of the Civil Summons, Civil Action Cover Sheet, and Verified Complaint on March 18, 2014 at 10:00 am.
This the 20th day of March 2014.
___________________________
Mariam Qasim
State Bar No. 00000
Cognizant Legal Firm, PA
Attorneys for the Plaintiff
700 Attorney Avenue
Charlotte, NC 28212
Telephone: 704-555-5555
SWORN TO and subscribed before me this 20th day of March, 2014.
___________________________
Notary Public
My commission expires: March 30, 2016.

“EXHIBIT A”

CERTIFICATE OF SERVICE
The undersigned hereby certifies that a copy of the foregoing AFFIDAVIT OF SERVICE of Process of Civil Summons and Verified Complaint on Defendant, Dennis Woods, VIA UPS Delivery Requested has been duly served upon all parties of records by depositing said copy is depository of the United States Postal Service, first-class, postage prepaid, addressed as shown below.
Dennis Wood
500 Oops I Did It Avenue
Charlotte, NC 28212
This is the 20th day of March 2014
THE COGNIZANT LAW FIRM, P.A.
_____________________________________________
The Cognizant Law Firm, P.A.
700 Attorney Ave.
Charlotte, NC 28212