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Certificate of Service (Sample Language). Unsworn Certificate Of Service (Sample And Form) Form.This is a Minnesota form and can be use in Bankruptcy Court Federal. CV-Certificate of Service (Service of Papers Other than Citation). What are some examples of Interested Parties? Prepare the Original Petition for Change of Name of Child, keeping the basic format shown. Legal interest in the children as stated above. A Certificate of Service must be completed for each party provided the Notice of Hearing. 9. Electronic service on an attorney must be made to the designated e-mail service address posted on the N.D. Supreme Court website. The court may need proof you had the affidavit served.