Name of Person Filing: Your Address: Your City, State, Zip Code: Your Telephone Number: Attorney Bar Number (if applicable): Self (Without an Attorney) or Representing Petitioner or Respondent SUPERIOR COURT OF ARIZONA PINAL COUNTY ) In the Matter of ) ) ) ) ) ) ) Case No. SV 2 ACCEPTANCE OF SERVICE (Severance Forms) THE PERSON WHO SIGNED BELOW MAKES THESE STATEMENTS UNDER OATH: 1. COURT PAPERS. I acknowledge that I have voluntarily accepted a copy of the following legal papers. (Check the boxes that apply to the copies you have received. Do not check the box unless you received the document). Petition for Termination of Parent / Child Relationship Notice of Hearing on Petition for Termination of Parent / Child Relationship OTHER (List Documents if applicable): 2. ACCEPT AND WAIVE FORMAL SERVICE. I waive formal service of process (service by a process server or sheriff), and understand by accepting these papers, it is the same as if I were personally served under Arizona Law [Rules 4, 4.1, 4.2, Arizona Rules of Civil Procedure]. 3. RESPONSE DEADLINE. I am aware that by accepting service of these court papers and signing this paper, my right or obligation to file a written Response or Answer to this action is not affected. I understand that if I do not agree with any relief asked for in the Petition, I must Respond or Answer within 20 days from the day I signed the original of this Acceptance of Service, if I accepted service in Arizona, or 30 days from the day I signed the original of this Acceptance of Service, if I received the papers somewhere other than Arizona. 4. DEFAULT JUDGMENT, ORDER OR DECREE. I understand that if I do not appear and defend this action in court, within the time allowed by law, that I may lose my right to be heard in this case. I understand that failure to Respond or Answer could result in the court giving the other party any and all things requested in their legal papers through a Default Judgment or Order © Superior Court of Arizona in Pinal County September 5, 2006 ALL RIGHTS RESERVED SV Acceptance of Service Page 1 of 2 Use only most current version American LegalNet, Inc. www.FormsWorkflow.com 5. MILITARY SERVICE. I am not in the military forces of the United States of America in any capacity or I waive the protection of the Soldiers and Sailors Relief Act. Signature of Person Accepting Service Street Address: City, State, Zip Code: Telephone Number: SUBSCRIBED AND SWORN TO before me this day of , By Deputy Clerk/Notary Public My Commission Expires: © Superior Court of Arizona in Pinal County September 5, 2006 ALL RIGHTS RESERVED , 20 SV Acceptance of Service Page 2 of 2 Use only most current version American LegalNet, Inc. www.FormsWorkflow.com