Claim #_________
(Form may be increased to 2 or more pages. Be concise.)
Provincial Court of Saskatchewan
Judicial Centre of Saskatoon
The Small Claims Act
BETWEEN
Type or print name(s) of Plaintiff(s)
PLAINTIFF(S)
and
Type or print name(s) of Defendant(s)
DEFENDANT(S)
AFFIDAVIT OF SERVICE BY FAX
Not for use when serving Summons & Statement of Claim Package
I,
of
Type or print name of person serving documents
,
Type or print street or R.R. & Box #
__________________________________, Saskatchewan, make oath and say that:
Type or print city
1.
I served___________________________________ with a true copy of the following documents:
Type or print name of person/corporation served
Check the documents served as applicable: ____ Document List
____ Trial Statement
____ Statement of Defence
____ Counterclaim
____ Specify _________________________________
These documents have been filed with the Court.
2.
I carried out service by faxing these documents to: _______________________________________
Type or print fax number
3.
Attached to this affidavit is the Transmission Record or Journal generated by the fax machine that
states that the date of transmission was the ________ day of ___________________, 20____ and
that the transmission was successful.
1
F7.3 Affidavit of Service by Fax – Provincial Court at Saskatoon / July 23/2013
4.
The basis of my information and belief as to the fax number of the person/corporation served is:
SWORN before me at
Saskatchewan this
day of
20
__________________________________________
______________________________________
Signature of person who served the document(s)
A Commissioner for Oaths in and for the Province of
Saskatchewan, being a solicitor, or
My appointment expires ______________, 20____
______________________________________
Type or print name of person who served the document(s)
2
F7.3 Affidavit of Service by Fax – Provincial Court at Saskatoon / July 23/2013