Fillable Representing: Self (without legal counsel) Or Legal Counsel (Tohono O'odham Nation)

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Representing: Self (without legal counsel) Or Legal Counsel (Tohono O'odham Nation)

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File type: PDF

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Effective 072612
Name of Person Filing: _______________________________________
Your Address: _______________________________________
Your City, State, Zip Code: _______________________________________
Your Telephone Number: _______________________________________
Attorney Bar Number (if applicable): _________________________________
Representing: Self (without legal counsel)
Or Legal Counsel for Petitioner Respondent
IN THE JUDICIAL COURT OF THE TOHONO O’ODHAM NATION
IN THE STATE OF ARIZONA
CIVIL DIVISION
___________________________________________,
Name of Plaintiff,
vs.
___________________________________________,
Name of Defendant.
)
)
)
)
)
)
Case No.: ______________________
PROOF OF SERVICE
1. I am Legal Counsel or the Plaintiff / Defendant in this action. I make this Proof of Service to
show that I have served the court papers on the other party pursuant to Rule 3 of the Tohono O’odham
Rules of Civil Procedure.
2. A copy of the summons and the petition or complaint were served on the following persons by the
indicated method, with the required documentation attached:
Name:
Method:
Personal Service
Name of Server:
Date, Time, Location:
Name of person accepting service:
Signature of served person:
If not the individual to be served, I affirm that the individual accepting service
was of suitable discretion age sixteen (16) or older.
Mail
Address used:
Mail Delivery Service used:
Date mailed:
Proof attached:
return receipt mailing log mailing envelope
Publication. Printed copy of the publication and affidavit indicating the manner and
dates of publication attached.
Name:
Method:
Personal Service
Name of Server:
Date, Time, Location:
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Proof of Service, Page 2
Effective 072612
Name of person accepting service:
Signature of served person:
If not the individual to be served, I affirm that the individual accepting service
was of suitable discretion age sixteen (16) or older.
Mail
Address used:
Mail Delivery Service used:
Date mailed:
Proof attached:
return receipt mailing log mailing envelope
Publication. Printed copy of the publication and affidavit indicating the manner and
dates of publication attached.
Name:
Method:
Personal Service
Name of Server:
Date, Time, Location:
Name of person accepting service:
Signature of served person:
If not the individual to be served, I affirm that the individual accepting service
was of suitable discretion age sixteen (16) or older.
Mail
Address used:
Mail Delivery Service used:
Date mailed:
Proof attached:
return receipt mailing log mailing envelope
Publication. Printed copy of the publication and affidavit indicating the manner and
dates of publication attached.
Name:
Method:
Personal Service
Name of Server:
Date, Time, Location:
Name of person accepting service:
Signature of served person:
If not the individual to be served, I affirm that the individual accepting service
was of suitable discretion age sixteen (16) or older.
Mail
Address used:
Mail Delivery Service used:
Date mailed:
Proof attached:
return receipt mailing log mailing envelope
Publication. Printed copy of the publication and affidavit indicating the manner and
dates of publication attached.
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signature
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signature
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signature
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Proof of Service, Page 3
Effective 072612
RESPECTFULLY SUBMITTED this ______ day of _______________________, 20________.
__________________________________________
Signature
VERIFICATION
STATE OF ARIZONA )
) ss.
COUNTY OF _______________________ )
___________________________________________________________, having been first duly sworn
upon his/her Oath deposes and states as follows:
I, ____________________________________________________________, hereby state and affirm
upon the penalty of perjury that the statements in this Proof of Service are accurate to the best of my information,
knowledge, and belief.
___________________________________
Signature
Subscribed and Sworn before me by __________________________________________, this
_________ day of ______________________________, 20________.
___________________________________
Notary Public
My Commission Expires:
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Representing: Self (without legal counsel) Or Legal Counsel (Tohono O'odham Nation)

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Completed 27 January 2021

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