Name: ___________________________________ Address: _________________________________ City, State, ZIP: ____________________________ Daytime Telephone No: ______________________ Representing Self, Without a Lawyer ARIZONA SUPERIOR COURT, PIMA COUNTY ______________________________________ Case No. _________________ Petitioner/Plaintiff and AFFIDAVIT IN SUPPORT OF APPLICATION FOR DEFERRAL OR WAIVER OF SERVICE OF PROCESS COSTS ______________________________________ Respondent/Defendant STATE OF ARIZONA COUNTY OF PIMA ) )ss ) STATEMENTS MADE TO THE COURT UNDER OATH. I swear or affirm that the information in this application is true and correct. I make this statement under penalty of prosecution for perjury if it is determined that I did not tell the truth. I have requested a deferral of the following fees in my case: † Fees for service of process by a sheriff, marshal, constable or local law enforcement agency: In support of my request, I state that (check and complete any that apply): † † It would be useless or dangerous for me to try to obtain voluntary acceptance of service by the person to be served because (explain): † † I have attempted, without success, to obtain voluntary acceptance of service of process on the person to be served. _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ There is an enforceable Order of Protection or Injunction Against Harassment between the parties. Fees for publication: In support of my request, I state that I have attempted to locate the person to be served but I have been unable to locate that person (check and complete any that apply): † This is what I did to try and find the other party (explain): _________________________________________________________________________________ _________________________________________________________________________________ ______ 1 _____________________ deferral–affidavit. form Revised 02.11.11 American LegalNet, Inc. www.FormsWorkFlow.com † I have contacted the person(s) listed below to try to find the location of the other party: NAME ADDRESS __________________________________ __________________________________ ACKNOWLEDGMENT AND SIGNATURE UNDER OATH Today’s Date: Signature: ___________________________________________ SUBSCRIBED AND SWORN or affirmed and acknowledged before me on (date) _______________ by My Commission Expires: . Clerk or Notary Public: _________________________________ INFORMATION FOR SERVICE BY LAW ENFORCEMENT You must answer this if you want a sheriff, marshal, constable or local law enforcement agency to serve papers on the other party: To the best of my knowledge, as of (date) , the last known address of the person to be served was: ________________________________________________________________________. 2 deferral–affidavit. form Revised 02.11.11 American LegalNet, Inc. www.FormsWorkFlow.com