Page 1 of 2 Revised December 2018 251 201 8 Coconino County Law Library Person Filing : Mailing Address : City, State, Zip Code: Phone Number: Representing Self COCONINO COUNTY SUPERIOR COURT Petitioner: Case Number: DO AFFIDAVIT OF SERVICE BY CERTIFIED MAIL Respondent: On this date: , I mailed the following legal papers in this case through certified mail, with delivery restricted to the other party: I mailed the papers to this a ddress: On this date: , I received the receipt signed by the other party (attach ed) , showing that the other party received the forms on this date: If the other party is incarcerated, I also mailed a set of copies to them through first - class mail. My Signature : State of Arizona County of ) ) ) Subscribed and sworn before me this date: b y: Seal: Notary Public: Notary Expiration Date: American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 2 Revised December 2018 251 201 8 Coconino County Law Library (Attach green card here.) American LegalNet, Inc. www.FormsWorkFlow.com