Page 1 of 2 DOASRMCOSCPinal03.05.18 Use only most current version Name of Person Filing: Street Address: City, State, Zip Code: Telephone Number: Email Address: ATLAS Number (if applicable) Representing Self (No Attorney) or Represented by Attorney If Attorney, Bar Number: SUPERIOR COURT OF ARIZONA PINAL COUNTY CASE NUMBER: S1100DO2 Name of Petitioner AFFIDAVIT OF SERVICE BY CERTIFIED MAIL Name of Respondent HONORABLE: 1. 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 other party by certified mail, postage prepaid, return receipt requested, pursuant to Arizona Rules of Civil Procedure, Rule 4.2(c). Person served (name of other party): Address where other party was served: Date of receipt by the other party: Date of return of receipt to sender: 2. The following documents were sent to the other party by certified mail (List all the documents sent to the other party): These court papers were received by the other party as shown by the original RETURN receipt that is attached to this Affidavit. American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 2 DOASRMCOSCPinal03.05.18 Use only most current version Date Signature State of Arizona ) ) County of ) Subscribed and sworn (or affirmed) before me this day of , 20 (Day) (Month) (Year) by (Name of Signer) (Affix notary seal here) Notary Public (Notary222s Signature) ATTACH THE ORIGINAL MAIL RETURN RECEIPT HERE American LegalNet, Inc. www.FormsWorkFlow.com