Arizona Supreme Court Page 1 of 2 AOC CVGE21F-100518 (1) Person Filing: Mailing Address: City, State, Zip Code: Email Address: Telephone Number(s): Representing: [ ] Self [ ] Attorney [ ] Other State Bar No. (if applicable): (2) [ ] JUSTICE COURT , COUNTY OF (3) [ ] MUNICIPAL COURT , COUNTY OF (4) [ ] ARIZONA SUPERIOR COURT, COUNTY OF (5) Petitioner/Plaintiff [ ] Judgment Creditor [ ] Judgment Debtor Name: Address: City, State, Zip Code: Email Address: Phone(s): (6) Respondent/Defendant [ ] Judgment Debtor [ ] Judgment Creditor Name: Address: City, State, Zip Code: Email Address: Phone(s): (7) Garnishee: Name: Address: City, State, Zip Code: Email Address: Phone(s): (8) Case Number: CERTIFICATE OF SERVICE American LegalNet, Inc. www.FormsWorkFlow.com (8) Case Number: Arizona Supreme Court Page 2 of 2 AOC CVGE21F-100518 On (9) (date), I: (10) (Check all boxes that are true.) [ ] Mailed by regular mail (postage prepaid) [ ] Mailed by Certified mail (return receipt attached) [ ] Hand-delivered by (11) (12) a copy of the following documents: 1. 2. 3. 4. 5. 6. 7. 8. (13) to the following person(s): Name: Address: Name: Address: Name: Address: OATH OR AFFIRMATION I declare under penalty of perjury that the foregoing is true and correct to the best of my knowledge, information, and belief. (14) Date Signature American LegalNet, Inc. www.FormsWorkFlow.com