Form 49.80E-E

Form of certificate of service of simplified dissolution application

CERTIFICATE OF SERVICE [or INTIMATION]

I, (name), Deputy Principal Clerk of Session [or clerk of session authorised by him], certify that I served [or intimated] this simplified dissolution application by (name of applicant) on [or to] (name of person on whom service executed or to whom intimation given) by posting it with a citation [or notice of intimation] in Form (number of form) to that person between (time) and (time) on (date) at (name of post office) in a registered envelope [or recorded delivery envelope] address as follows:- (address).   The Post Office receipt [or certificate of posting] is attached to this certificate.

	(Signed)

	Deputy Principal Clerk of Session

	[or authorised clerk of session]

	[or Messenger-at-Arms]

	(Address)]

	(Signed)

	Witness