ACKNOWLEDGEMENT OF SERVICE PAGE 1 CAO FL 2-1 01/15/2018 Full Name of Party Filing Document Mailing Address (Street or Post Office Box) City, State and Zip Code Telephone Email Address (if any) IN THE DISTRICT COURT FOR THE JUDICIAL DISTRICT FOR THE STATE OF IDAHO, IN AND FOR THE COUNTY OF , Petitioner, vs. , Respondent. Case No. ACKNOWLEDGMENT OF SERVICE I, , the Respondent Petitioner, admit and acknowledge that service of a copy of the Petition, Summons, Order to Attend parent education program Joint Temporary Restraining Order (Children) Joint Temporary Restraining Order (Property) other was made on me because I received them on (date received) . I certify that: I am over the age of eighteen, I am mentally competent, I read and write the English language; and: [check all that apply]: I am NOT in the uniformed services as defined by the Servicemembers Civil Relief Act. or American LegalNet, Inc. www.FormsWorkFlow.com ACKNOWLEDGEMENT OF SERVICE PAGE 2 CAO FL 2-1 01/15/2018 I am in the uniformed services as defined by the Servicemembers Civil Relief Act. I understand and waive my rights under the Act. I submit to this court222s jurisdiction, decline to plead, waive hearing, and agree that a final decree be entered. Date: Signature STATE OF IDAHO ) ) ss. County of ) On this day of , before me, the undersigned, a Notary Public in and for the State, personally appeared , known or identified to me to be the person whose name is subscribed to the foregoing instrument and acknowledged to me that s/he executed the same. IN WITNESS WHEREOF, I have hereunto set my hand and seal on the date last above written. Notary Public for Idaho Residing at Commission expires American LegalNet, Inc. www.FormsWorkFlow.com