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 Case Number: (Name of Petitioner) AFFIDAVIT OF SERVICE BY AND Mail National Courier Service (Name of Respondent) STATE OF ARIZONA COUNTY OF MOHAVE ) ) ss. The undersigned affiant, being first duly sworn on oath, deposes and says: 1. I am the Petitioner or Respondent in the above entitled matter; 2. I have personal knowledge of the facts herein set forth; 3. The other party is a: resident of the State of Arizona; OR resident of the State of Arizona, but who is absent from the State of Arizona at an address known to affiant; non-resident of the State. 4. I, on the day of Registered Mail Service (name) documents: addressed to the Restricted Mail Petitioner OR , 20 , dispatched by Certified Mail return receipt requested OR National Courier copies of the following Respondent at: ________________________________________________________________________________ 6/1/2006 Page 1 of 2 American LegalNet, Inc. www.FormsWorkflow.com Case No:______________________ 5. The delivery was received by Petitioner OR Respondent as evidenced by the attached: Return Receipt Signature confirmation and cash register receipt Signature confirmation and package label Other that was signed by the Petitioner OR Respondent on the day of _____________, 20 , and returned to me on the day of , 20____. , state that I have read this Affidavit. I declare under I, penalty of perjury that the forgoing is true and correct. Date Signature 6/1/2006 Page 2 of 2 American LegalNet, Inc. www.FormsWorkflow.com