Military Service Declaration Approved Bo ard of District Court Judges January 22, 2010 Revised May 1, 2019 Page 1 of 3 Name Address City, State, Zip Phone Check your email. You will receive information and documents at this email address. Email I am the [ ] Plaintiff/Petitioner [ ] Defendant/Respondent [ ] Attorney for the [ ] Plaintiff/Petition er [ ] Defendant/Respondent and my Utah Bar number is In the [ ] District [ ] Justice Court of Utah Judicial District County Court Address Plaintiff/Petitioner v. Defendant/Respondent Military Service Declaration Case Number Judge Commiss ioner I say as follows: (1) The clerk of court has issued a Certificate showing the default of the: [ ] Plaintiff/Petitioner [ ] Defendant/Respondent American LegalNet, Inc. www.FormsWorkFlow.com Military Service Declaration Approved Bo ard of District Court Judges January 22, 2010 Revised May 1, 2019 Page 2 of 3 (2)(A) [ ] I am unable to determine the military status of the defaulting party. OR (B) [ ] The defaulting party (check one): [ ] is in military service. [ ] is not in military service. (3) [ ] I have done the following research to support the above conclusion. (4)(A) [ ] (A certificate from the Department of Defense Manpower Data Center is the preferred evidence of the military service status. Check this box only if you have attached that certificate.) I visited the Department of Defense Manpower Data Center website (https://scra.dmdc.osd.mil/scra/#/single-record) and entered the following information for the defaulting party, which I know to be correct: Name Social Security Number (Last 4 digits only) Date of Birth (4)(B) [ ] I know the identifying information is correct because: (5) [ ] I do not know and am birth or social security number. I declare under criminal penalty under the law of Utah that everything stated in this document is true . Signed at (c ity, and state or country). Sign atu Date Printed Name American LegalNet, Inc. www.FormsWorkFlow.com Military Service Declaration Approved Bo ard of District Court Judges January 22, 2010 Revised May 1, 2019 Page 3 of 3 Certificate of Service I certify that I filed with the court and am serving a copy of this Military Service Declaration on the following people. Service Method Service Addres s Service Date [ ] Mail [ ] Hand Delivery [ ] E - filed [ ] Email [ ] Left at business (With person in charge or in receptacle for deliveries.) [ ] Left at home (With person of suitable age and discretion residing there.) [ ] Mail [ ] H and Delivery [ ] E - filed [ ] Email [ ] Left at business (With person in charge or in receptacle for deliveries.) [ ] Left at home (With person of suitable age and discretion residing there.) [ ] Mail [ ] Hand Delivery [ ] E - filed [ ] Em ail [ ] Left at business (With person in charge or in receptacle for deliveries.) [ ] Left at home (With person of suitable age and discretion residing there.) Sign atu Date Printed Name American LegalNet, Inc. www.FormsWorkFlow.com