File Stamp AFFIDAVIT -- SERVICE BY CERTIFIED MAIL Court Location: Case Name: Court Case No. I solemnly swear or affirm that the facts stated below are true to the best of my personal knowledge: 1. On (date) certified mail with delivery restricted to: Name: Mailing Address: 2. Documents Mailed: 3. Postage Paid: 4. The receipt (green card) showing that the person received the documents is attached below. , I mailed the documents listed in paragraph 2 below by Attach green card here with signature side up. Please use tape to attach the card; do not staple the card to the page. Write the case number on the card. Sign Before A Notary Signature Print Name Subscribed and sworn to or affirmed before me at on (SEAL) . Clerk of Court, Notary Public, or other person authorized to administer oaths. My commission expires Civ. Rules 4(f), 4(h) and 69(g)(5)(A)(i) American LegalNet, Inc. www.FormsWorkFlow.com , Alaska CIV-620 (11/10)(cs) AFFIDAVIT - SERVICE BY CERTIFIED MAIL