Name: ___________________________________ Address: _________________________________ City, State, ZIP: ____________________________ Daytime Telephone No: ______________________ Representing Self, Without a Lawyer ARIZONA SUPERIOR COURT, PIMA COUNTY _____________________________________________ Petitioner/Plaintiff and Case No. _________________ AFFIDAVIT OF SERVICE BY MAIL _____________________________________________ Respondent/Defendant 1. I am the Petitioner in this case. I am familiar with the facts stated in this Affidavit, and I make this Affidavit to show that I have served the court papers on the Respondent by mail, restricted delivery, postage prepaid, return receipt requested, pursuant to Arizona Rules of Civil Procedure, Rule 4.2(c). Person served (Name of Respondent): _____________________________________________ Address where Respondent was served: ____________________________________________ Date of receipt by the Respondent: _____________________________ Date of return of receipt to Sender: _____________________________ 2. I know that the Respondent is located outside of the State. The Summons, Petition for Dissolution, and (list other documents sent, if applicable) ________________________________________________________ ____________________________________________________________________________________ were sent by mail to the Respondent. These papers were received by Respondent as shown by a receipt, the true original of which is attached to this Affidavit on the following page. ______________________________________ Petitioner SUBSCRIBED AND SWORN to before me this day of _______________________________, 20 , by __________________________________________. ______________________________________ NOTARY PUBLIC My Commission Expires: _______________________ 1 dissolution-affidavit of serv by mail.form Revised 08.05.04 American LegalNet, Inc. www.USCourtForms.com STAPLE OR TAPE ORIGINAL OF POST OFFICE GREEN RECEIPT HERE WITH SIGNATURE SIDE UP 2 dissolution-affidavit of serv by mail.form Revised 08.05.04 American LegalNet, Inc. www.USCourtForms.com