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
TextField1
  • 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:

_____

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.