The Superior Court of Arizona in Yavapai County Page 1 of 2 GN24f
September 2008
Name
Mailing Address
Daytime Phone
IN THE SUPERIOR COURT OF THE STATE OF ARIZONA
IN AND FOR THE COUNTY OF YAVAPAI
)
)
Petitioner/Plaintiff )
DO
vs. )
)
AFFIDAVIT OF SERVICE BY MAIL
) [ ] Mail
Respondent/Defendant ) [ ] National Courier Service
)
STATE OF ARIZONA )
COUNTY OF YAVAPAI ) ss.
The undersigned affiant, being first duly sworn on oath, deposes and says:
1. I am the [ ] Petitioner or [ ] Respondent in the above entitled matter;
2. I have personal knowledge of the facts herein set forth;
3. The other party is a
[ ] resident of the State of Arizona OR
[ ] resident of the State of Arizona, but who is absent from the State of Arizona at an address known to
affiant;
[ ] non-resident of the State.
4. I, on the
day of , 20 , dispatched by [ ] Certified Mail
[ ] Registered Mail, [ ] Restricted Mail [ ]return receipt requested, OR [ ] National Courier
Service (name)
copies of the following documents:
addressed to the [ ] Petitioner or [ ] Respondent at:
5. The delivery was received by [ ] Petitioner OR [ ] Respondent as evidenced by the attached:
[ ] Return Receipt
[ ] Signature confirmation and cash register receipt
[ ] Signature confirmation and package label
The Superior Court of Arizona in Yavapai County Page 2 of 2 GN24f
September 2008
[ ] Other
that was signed by the [ ] Petitioner or [ ] Respondent on the
day of , 20 and returned to the me on the day of ,
20
.
I,
, state that I have read this Affidavit. I declare under penalty of
perjury that the forgoing is true and correct.
Date Petitioner or Respondent