251 ARIZONA SUPREME COURT AOC JVJESV2F-102014 ALL RIGHTS RESERVED Page 1 of 2 Person Filing: Mailing Address: City, State, Zip: Day/Evening Phone: Person Filing is: SELF (No Attorney) OR Attorney If Attorney, Bar No.: Attorney Phone: SUPERIOR COURT OF ARIZONA IN COUNTY JUVENILE COURT In the Matter of the Emancipation of: Case Number: PROOF OF SERVICE , a Minor Pursuant to Arizona Rules of Civil Procedure, Rule 4.2(c), the following party has been served a filed copy of the Petition for Emancipation in the above case. Attached is the Return Receipt and supporting information to document the Proof of Service. Person Served: Address of Person Served: Date of original mailing: Date of receipt by Person Served: Attachment of Service: Tape your Return Receipt Here American LegalNet, Inc. www.FormsWorkFlow.com Case Number: 251 ARIZONA SUPREME COURT AOC JVJESV2F-102014 ALL RIGHTS RESERVED Page 2 of 2 OATH OR AFFIRMATION OF INDIVIDUAL COMPLETING SERVICE I swear or affirm that the information provide above is true and correct to the best of my knowledge, information, and belief, under penalty of law. Signature Date Subscribed and sworn to or affirmed before me this date: Clerk of Superior Court OR Notary My Commission Expires: Deputy Clerk American LegalNet, Inc. www.FormsWorkFlow.com