Acceptance Of Service

Name: Mailing Address: City, State, Zip Code: Daytime / Evening Phone: Representing: Self or Attorney for Petitioner Respondent (If Attorney) State Bar No.: For Clerk’s Use Only SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY Case No: (Name of Petitioner/Plaintiff) ACCEPTANCE OF SERVICE (Name of Respondent/Defendant) A.R.C.P. Rule 4 (f) Read Carefully. By signing your name on the next page in the presence of a Notary Public or a Clerk of the Superior Court, you are stating under oath or affirmation that you have read this document and understand its contents and that you have received and accepted the documents listed. Accepting these papers does not affect your right to disagree with them. 1. ACCEPT AND WAIVE FORMAL SERVICE. I waive formal service of process (service by a process server or sheriff), and understand by accepting these papers, it is the same as if I were personally served under Arizona Law Rule 4 (f), Arizona Rules of Civil Procedure]. 2. RESPONSE DEADLINE. I understand that accepting service of these court papers does not affect my right to file a written Response or Answer to this action if I disagree. I understand that if I do not agree with any relief asked for in the Petition, I must Respond or Answer within 20 days from the day I signed the original of this Acceptance of Service if I accepted service in Arizona, or within 30 days if I received the papers somewhere other than Arizona. 3. DEFAULT JUDGMENT, ORDER OR DECREE. I understand that if I do not appear and defend in this action in court, within the time allowed by law, that I may lose my right to be heard in this case. I understand that failure to Respond or Answer could result in the court giving the other party any and all things requested in his or her legal papers, through a Default Judgment, Order or Decree. On the following page, describe the type of case the documents you have received relate to and list each individual document received. © Superior Court of Arizona in Maricopa County August 20, 2009 ALL RIGHTS RESERVED GN22f Page 1 of 2 Use only most current version ACS American LegalNet, Inc. www.FormsWorkFlow.com Case No. 4. Type of Case: (Title from case caption or describe) I have received and voluntarily accept service of the legal documents listed below: (List name/title of document. Example: “Petition”, “Summons”.) I swear or affirm that I have read and understand the contents of this document and that the information I have provided is true and correct to the best of my knowledge and belief. Date Signature Affirmed before me this: by (Date) My Commission Expires or Seal (below): © Superior Court of Arizona in Maricopa County August 20, 2009 ALL RIGHTS RESERVED Printed Name of Person Who Signed Deputy Clerk or Notary Public GN22f Page 2 of 2 Use only most current version ACS American LegalNet, Inc. www.FormsWorkFlow.com