SUPERIOR COURT OF THE DISTRICT OF COLUMBIA FAMILY COURT Domestic Relations Branch PRINT PLAINTIFF'S NAME PLAINTIFF, v. DRB PRINT DEFENDANT'S NAME DEFENDANT. AFFIDAVIT OF SERVICE BY CERTIFIED MAIL I, PRINT YOUR NAME , am the PLAINTIFF DEFENDANT in this case. 1. On requested, a copy of my , I sent to the other party by certified mail, return-receipt Summons and Complaint for Absolute Divorce Summons and Complaint for Legal Separation Summons and Complaint for Annulment of Marriage Summons and Complaint for Custody and/or Visitation Notice of Motion and Motion to Modify Custody and/or Visitation Notice of Motion and Motion for Contempt 2. I received the return-receipt ("green card") from the U.S. Postal Service. It was signed by NAME OF PERSON WHO SIGNED THE RECEIPT and dated DATE SIGNED . DC Bar Pro Bono Center (revised 10/2016) Affidavit of Return of Service by Certified Mail Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com 3. I reviewed the return receipt ("green card") and state that The other party signed the return receipt ("green card"). A person of suitable age and discretion who lives at the home of the other party signed the return receipt ("green card"). I do not know if the person who signed the signed the return receipt ("green card") is a person of suitable age and discretion who lives at the home of the other party. I do not know who signed the return receipt ("green card"). ATTACH THE RETURN RECEIPT ("GREEN CARD") HERE I solemnly swear or affirm under criminal penalties for the making of a false statement that I have read this Affidavit of Service by Certified Mail and that the factual statements made in it are true to the best of my personal knowledge, information and belief. SIGN YOUR NAME DATE PRINT YOUR NAME DC Bar Pro Bono Center (revised 10/2016) Affidavit of Return of Service by Certified Mail Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com