James W. Muller Sheriff
David Allison
Chief Deputy
SHERIFF'S OFFICE OF ADAMS COUNTY
Bernard A. Yannetti Solicitor
Kevin E. Miller Lieutenant
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Plaintiff _____
Plaintiff
Docket Number
Docket Number
VS
Defendant _____ Docket Date _____
Defendant
Docket Date
Type of Writ ___
Type of Writ
Note: We require the plaintiff or designee to complete a copy of this form for each defendant. One copy of the documentation per defendant to be served is sufficient. We do not need separate copies for each address.
TO THE SHERIFF OF ADAMS COUNTY, PENNSYLVANIA, YOU ARE HEREBY
REQUEST SERVICE OF DOCUMENTS UPON THE FOLLOWING:
Name: ___
Name:
Mobile: _____
Mobile:
Primary Address: ___
Primary Address:
Phone: ___
Phone:
Alternate Address: ___
Alternate Address:
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Phone: ___ Service will be attempted according to Pa Title 231: Rule 402. Manner of Service. Acceptance of Service.
Phone:
Service will be attempted according to Pa Title 231: Rule 402. Manner of Service. Acceptance of Service.
Original process may be served
by handing a copy to the defendant; or
by handing a copy
by handing a copy
at the residence of the defendant to an adult member of the family with whom he resides; but if no adult member of the family is found, then an adult person in charge of such residence; or
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at the residence of the defendant the clerk or manager of the hotel, inn, apartment house, boarding house or other place of lodging at which he resides; or
at any office or usual place of business of the defendant to his agent or to the person for the time being in charge thereof.
In lieu of service under this rule, the defendant or his authorized agent may accept service...
(b) In lieu of service under this rule, the defendant or his authorized agent may accept service...
Special Instructions/Additional Information:
Special Instructions/Additional Information:
_____
Attorney/Originator:
Attorney/Originator:
Address: ___
Address:
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Phone: _____
Phone:
<table><tr><td>Sheriff&#x27;s Office Use Only:</td></tr></table>
Sheriff's Office Use Only:
Now, this day of 20
Now, this
day of
20
I, James W. Muller, Sheriff of Adams County Pennsylvania do hereby deputize the Sheriff of County
deputize the Sheriff of
to execute service of the document herewith and make return thereof according to law.
Law Firm ___
Law Firm
Sign
Sign
Sheriff's Office Use Only:
James W. Muller, Sheriff
Please provide a self-addressed, stamped envelope for return of service
NOTE: ONLY APPLICABLE ON WRIT OF EXECUTION: N.B WAIVER OF WATCHMAN - Any deputy sheriff levying upon or attaching any property under within writ may leave same without a watchman, in custody of whomever is found in possession, after notifying person of levy or attachment, without liability on the part of such deputy or the sheriff to any plaintiff herein for any loss, destruction, or removal of any property before sheriff's sale thereof.