Person Filing: Address (if not protected): City, State, Zip Code: Telephone: Email Address: Lawyer's Bar Number: Representing Self, without a Lawyer or Attorney for Petitioner OR For Clerk's Use Only Respondent SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY Case Number: Name of Petitioner/Plaintiff AFFIDAVIT IN SUPPORT OF APPLICATION FOR DEFERRAL OR WAIVER OF SERVICE OF PROCESS FEES Name of Respondent/Defendant STATE OF ARIZONA COUNTY OF ) ) ss. NOTE: FILL OUT THIS FORM ONLY IF YOU REQUESTED DEFERRAL OR WAIVER OF SERVICE COSTS IN THE APPLICATION. YOU MUST HAVE ATTEMPTED PERSONAL SERVICE OR HAVE A VALID REASON FOR NOT DOING SO. SERVICE BY PUBLICATION IS USED AS A LAST RESORT. Notice. A Fee Deferral is only a temporary postponement of the payment of the fees due. You may be required to make payments depending on your income. A Fee Waiver is usually permanent unless your financial circumstances change during the pendency of this court action. I have requested a deferral or waiver of the following fees in my case: [ ] Fees for service of process by a sheriff, marshal, constable, or law enforcement agency: In support of my request, I state that (check and complete any that apply): [ ] I have attempted to obtain voluntary acceptance of service of process without success on the person to be served. [ ] It would be useless or dangerous for me to try to obtain voluntary acceptance of service by the person to be served because (explain): [ ] An enforceable injunction against harassment has been granted to me against the person to be served. © Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED GNF21f - 090114 Use current version American LegalNet, Inc. www.FormsWorkFlow.com Page 1 of 2 Case Number: [ ] Fees for publication: In support of my request, I state that I have attempted to locate the person to be served but I have been unable to locate that person (check and complete any that apply): [ ] This is what I did to try to find the other party (explain): [ ] I have contacted the person(s) listed below to try to find the location of the other party. NAME ADDRESS OATH OR AFFIRMATION I declare under penalty of perjury that the foregoing is true and correct. Date: Signature Applicant's Printed Name INFORMATION FOR SERVICE You must provide the following information: To the best of my knowledge, as of (date) served as: , the last known address of the person to be © Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED Page 2 of 2 GNF21f - 090114 Use current version American LegalNet, Inc. www.FormsWorkFlow.com