For Clerk’s Use Only Name of Person Filing: ________________________________________ Mailing Address: ________________________________________ City, State, and Zip Code: ________________________________________ Daytime Phone Number: ________________________________________ Evening Phone Number: ________________________________________ ATLAS Number (if applicable): ________________________________________ State Bar Number (if applicable):______________________________________ Representing: Self Petitioner Respondent SUPERIOR COURT OF ARIZONA MOHAVE COUNTY In the matter of the Guardianship and/or Conservatorship of Case Number: _________________________ ACCEPTANCE OF SERVICE (and WAIVER OF NOTICE) REGARDING PERMANENT GUARDIANSHIP AND/ OR CONSERVATORSHIP OF A MINOR _______________________________ A Minor The person who signs below states under oath or affirmation, the following: My relationship to the person named in the caption above as “A Minor”, is: (Example: “father” or “sister”): _________________________________ 1. ACCEPTANCE OF SERVICE. I have received a copy of the following Court papers concerning permanent guardianship of a minor. (Check the box next to each document you received.) “Petition for Permanent Appointment of Guardian and/or Conservator of a Minor” “Affidavit of Person to be Appointed as Guardian and/or Conservator of a Minor” “Consent of Parent to Guardianship and/or Conservatorship (and Waiver of Notice)” “Petition for Termination of Guardianship and/or Conservatorship of a Minor” OTHER (List Title of Document): ________________________________________________________ I waive formal service of process (personal service), and understand that by accepting these papers, it is the same under Arizona Law as if I had been personally served. I am aware that accepting service of these court papers and signing this document does not in any way reduce my rights or obligation to file a written objection or to come to court to object. 2. I am not on active duty in the military forces of the United States of America; OR I am on active duty in the military forces of the United States of America; AND NOTE: When military duty interferes with the ability to participate in a case, the Soldiers and Sailors (now “Service Members”) Civil Relief Act permits the service member to delay or overturn a civil court proceeding. Waiving this right does NOT affect your right to later request a change in the court’s ruling. IF ACTIVE DUTY MILITARY, CHECK ONE BOX: 2/15/2007 I WAIVE the right to delay or overturn this proceeding. I do NOT waive the right to delay or overturn this proceeding. Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Case No._____________________________ 3. (OPTIONAL) I WAIVE NOTICE of all further proceedings in this matter. I understand that I can reverse this waiver by filing a written document with the Court under this case number declaring that I no longer waive notice of hearings and other Court proceedings. OATH OR AFFIRMATION STATE OF ARIZONA County of Mohave ) ) ss. I declare under penalty of perjury, that I have read this document. All the statements are true and correct and complete to the best of my knowledge and belief. __________________________________________ Signature Sworn or affirmed before me this ____________ day of __________________, 20_________ by_________________________________ ___________________________________ My Commission Expires 2/15/2007 __________________________________________ Notary Public / Deputy Clerk Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com