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 IN RE: Case No. AFFIDAVIT OF SERVICE (PETITION FOR NAME CHANGE AND NOTICE OF HEARING) (Minors) Legal names of children I, 1. I am a resident of , swear that: County, State of Idaho, over the age of eighteen (18) years, and not a party to the above-entitled action. 2. On the day of , I personally served a copy of the Petition for Name Change (Minors) and Notice of Hearing upon (other parent's name) , in the County of State of at (address) , (city) , . CERTIFICATION UNDER PENALTY OF PERJURY I certify under penalty of perjury pursuant to the law of the State of Idaho that the foregoing is true and correct. Date: Typed/printed name AFFIDAVIT OF SERVICE CAO NCM 2-3 07/01/2016 Signature American LegalNet, Inc. www.FormsWorkFlow.com