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 of SERVICE by CERTIFIED MAIL Name of Respondent/Defendant STATE OF ARIZONA County of Maricopa ) )ss. A.R.C.P. Rule 4.2(c) (Non Family court cases only) 1. I am familiar with the facts stated in this Affidavit, and I make this Affidavit to show that I have served the court papers on the other party by certified mail, postage prepaid, return receipt requested, pursuant to Arizona Rules of Civil Procedure, Rule 4.2(c). Person served (name of other party): Address where other party was served: Date of receipt by the other party: Date of return of receipt to sender: 2. I know that the other party is located outside the State of Arizona. The following documents were sent to the other party by certified mail: (List all of the documents sent to the other party): These court papers were received by the other party as shown by the receipt, a copy of which is attached to this Affidavit as required by Arizona Rules of Civil Procedure, Rule 4.2(c). Sender's Signature Date Printed Name of Person Who Signed STATE OF COUNTY OF Subscribed and sworn to or affirmed before me this: (date) . by (notary seal) © Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED AFM Page 1 of 1 Deputy Clerk or Notary Public GN24f-103015 American LegalNet, Inc. www.FormsWorkFlow.com