Superior Court of Washington County of In re: No. Petitioner, and Return of Service (Optional Use) (RTS) Respondent. I Declare: 1. I am over the age of 18 years, and I am not a party to this action. 2. I served ______________________________ [Name] with the following documents: [] [] [] [] [] [] [] [] [] [] [] [] [] 3. summons, a copy of which is attached, and petition in this action Notice Re: Dependent of a Person in Military Service parenting plan or residential schedule child support order child support worksheets sealed financial source documents cover sheet and financial documents financial declaration notice of and motion for temporary order motion for and ex parte order adequate cause notice of hearing declarations of _______________________________________________________ motion for and order to show cause re: _____________________________________ other: The date, time and place of service were (if by mail refer to Paragraph 4 below): Return of Service (RTS) - Page 1 of 2 WPF DRPSCU 01.0250 (6/2006) - CR 4(g), RCW 4.28.080(14) American LegalNet, Inc. www.USCourtForms.com Date: __________________________Time: _______________________ a.m./p.m. Address: _________________________________________________ _________________________________________________ 4. Service was made pursuant to Civil Rule 4(d): [] [] [] [] 5. Service of Notice on Dependent of a Person in Military Service. [] [] 6. by delivery to the person named in paragraph 2 above. by delivery to ______________________________ [Name], a person of suitable age and discretion residing at the respondent’s usual abode. by publication as provided in RCW 4.28.100. (A copy of the summons is attached.) (check only if there is a court order authorizing service by mail) by mailing two copies postage prepaid to the person named in the order entered by the court on _______________ [Date]. One copy was mailed by ordinary first class mail, the other copy was sent by certified mail return receipt requested. (Attach return receipt below.) The copies were mailed on _______________ [Date]. The Notice to Dependent of Person in Military Service was [ ] served on [ ] mailed by first class mail on _________________________________ [Date]. Other: Other: I declare under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. Signed at ________________________, [City] ______________ [State] on _________________ [Date]. Signature Print or Type Name Fees: Service Mileage Total (Attach Return Receipt here, if service was by mail.) Return of Service (RTS) - Page 2 of 2 WPF DRPSCU 01.0250 (6/2006) - CR 4(g), RCW 4.28.080(14) American LegalNet, Inc. www.USCourtForms.com