Full Name of Party Filing This Document Mailing Address (Street or Post Office Box) City, State and Zip Code Telephone Number IN THE DISTRICT COURT OF THE JUDICIAL DISTRICT OF THE STATE OF IDAHO, IN AND FOR THE COUNTY OF _____________________________________, Plaintiff, vs. _____________________________________, Defendant. Case No.: ___________________ ACKNOWLEDGMENT OF SERVICE I, ______________________________________, the [ ] Plaintiff [ ] Defendant in the above-entitled action, admit and acknowledge that service of a copy of the was made on me because I received them on the day of , 20 . I certify that [check all that apply]: [ ] I am not in the uniformed services as defined by the Servicemembers Civil Relief Act of 2003; or [ ] I am in the uniformed services as defined by the Servicemembers Civil Relief Act of 2003. I understand and waive my rights under the Act; or [ ] I am in the uniformed services as defined by the Servicemembers Civil Relief Act of 2003. I do not waive my rights under the Act. ACKNOWLEDGEMENT OF SERVICE BY DEFENDANT PAGE 1 CAO 2-1x Revised 2/25/2005 American LegalNet, Inc. www.USCourtForms.com [ ] I submit to the jurisdiction of this court, decline to plead, waive hearing, and agree that a final decree be entered. , 20___. Date: _____________________________ Signature STATE OF ______________) ) ss. County of ) On this __________ day of ________________, 20____, 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 within 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 Residing at My Commission Expires: ACKNOWLEDGEMENT OF SERVICE BY DEFENDANT PAGE 2 CAO 2-1x Revised 2/25/2005 American LegalNet, Inc. www.USCourtForms.com