For Clerk’s Use Only Name of Person Filing: ________________________________________ Mailing Address: ________________________________________ City, State, and Zip Code: ________________________________________ Day/Evening Phone Number: ________________________________________ State Bar Number (if applicable):______________________________________ Self Petitioner Representing: Respondent SUPERIOR COURT OF ARIZONA MOHAVE COUNTY Regarding the Matter of _______________________________________ (NAME) Case Number: ______________________________ AFFIDAVIT SHOWING CIRCUMSTANCES WHY NOTICE BY PUBLICATION WAS USED AND ABOUT THE PUBLICATION 1. I am the Petitioner or Applicant and make this Affidavit to show the circumstances why notice by publication was used, and to show how service by publication was done. 2. Here are the names of people entitled to notice of this matter to whom I gave notice by publication: Name:_______________________________________________________________________________ Last Known Address:__________________________________________________________________ Last Date I Tried to Find Person:_________________________________________________________ Relationship of Person to this Case:______________________________________________________ Name:_______________________________________________________________________________ Last Known Address:__________________________________________________________________ Last Date I Tried to Find Person:_________________________________________________________ Relationship of Person to this Case:______________________________________________________ Name:_______________________________________________________________________________ Last Known Address:__________________________________________________________________ Last Date I Tried to Find Person:_________________________________________________________ Relationship of Person to this Case:______________________________________________________ Name:_______________________________________________________________________________ Last Known Address:__________________________________________________________________ Last Date I Tried to Find Person:_________________________________________________________ Relationship of Person to this Case:______________________________________________________ 3. I made a diligent search to find out the residence and whereabouts of the people entitled to notice, but the search has failed to reveal any information concerning their residence or whereabouts. 03/04/09 Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Case No._____________________________ I contacted the persons listed below to find out the location of the following people entitled to notice: Name of Person I am Looking for:________________________________________________________ Name of Person I Contacted:____________________________________________________________ Address of Person I Contacted:__________________________________________________________ Name of Person I am Looking for:________________________________________________________ Name of Person I Contacted:____________________________________________________________ Address of Person I Contacted:__________________________________________________________ Name of Person I am Looking for:________________________________________________________ Name of Person I Contacted:____________________________________________________________ Address of Person I Contacted:__________________________________________________________ Name of Person I am Looking for:________________________________________________________ Name of Person I Contacted:____________________________________________________________ Address of Person I Contacted:__________________________________________________________ NOTICE OF HEARING or NOTICE TO CREDITORS was published in a newspaper in this County on the following dates: 4. A.__________________ B. __________________ C. __________________ OATH OR AFFIRMATION STATE OF ARIZONA County of Mohave ) )ss. I declare under penalty of perjury that I have read this statement and know of my own knowledge that the facts stated herein are true and correct. DATED_______________________ ___________________________________________ Signature of Petitioner / Applicant Subscribed and sworn to before me this _______day of ___________, ________ by __________________________________________ My Commission Expires:_________________________ ___________________________________________ Deputy Clerk / Notary Public 03/04/09 Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com