CERTIFICATE OF SERVICE This page must be completed and attached to the last page of your Petition for Mediation. DO NOT USE IF FILING JOINT PETITION. NOT REQUIRED WHEN PARTIES SIGN AND FILE JOINTLY (TOGETHER). 1. I AM FILING FOR PRE-DECREE MEDIATION (and NOT using the Joint Petition). I have filed the ORIGINAL of the attached “Petition for Pre-Decree Mediation” with the , 20 . Clerk of the Superior Court on this date: Month Day Year I have mailed or delivered a COPY of the attached “Petition for Pre-Decree Mediation” to the Judge or other Judicial Officer assigned to this case, namely , on this date 20 Name of Judicial Officer assigned to your case Month Day . Year OR 2. I AM FILING FOR POST-DECREE MEDIATION (and not using the Joint Petition). I have mailed, personally delivered, or caused to be delivered a COPY of the attached “Petition for Post-Decree Mediation” to the other party (ies) and his/her lawyer (if , 20 , applicable) listed below, on this date: Month Day Year (You must mail or deliver a copy of all documents to the other side and his or her lawyer) Name of Other Side Name of Other Side’s Lawyer Address Lawyer’s Address City, State, Zip City, State, Zip By signing below, I state under penalty of law that I have filed and/or mailed, delivered or caused to be delivered the attached document(s) as listed above. I understand that if I do not file/mail the attached document(s) as shown above, the Judicial Officer will not read my Petition. Date © SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY January 25, 2006 All rights reserved Your signature DRAD21f Page 1 of 1 USE CURRENT VERSION American LegalNet, Inc. www.FormsWorkflow.com