Box 8: Type date signed. Box 9: The person who served the Defendant must sign his or her name.I verify that the statements made in this Affidavit of Service are true and correct. I understand that any false statements. Form I-19 Affidavit of Confidential Address. Sample Forms These sample forms may be useful when filing documents for the civil and family courts. If you have any questions, consult an attorney. I verify that the statements made in this affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. General Witness Affidavit(PDF, 465KB) - Must be filed at our office; varied uses (e.g.