IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT In the Matter of the Change of Name of Current Name of Adult ) ) ) ) ) ) , ) CASE NO. CI Minor Child ) ) AFFIDAVIT OF ADDITIONAL SERVICE Being first duly sworn, I state that I personally posted a: Notice of Petition to Change Name Notice of Judgment in the above entitled case as required by the Order dated I posted the Notice on (date) as follows: . Any additional proof of service as required by Alaska Civil Rule 4(e)(6) is attached to this affidavit. Date Signature Printed Name Mailing Address City Subscribed and sworn to or affirmed before me at Alaska on . (date) (SEAL) person State , ZIP Clerk of Court, Notary Public or other authorized to administer oaths. My commission expires: CIV-702 (10/14)(cs) AFFIDAVIT OF ADDITIONAL SERVICE Civil Rule 84 AS 09.55.010 American LegalNet, Inc. www.FormsWorkFlow.com