Declaration of Compliance with Subpoena Approved Board of District Court Judges August 22, 2008 Revised May 1, 2019 Page 1 of 3 Name Address City, State, Zip Phone Email In the [ ] District [ ] Justice [ ] Juvenile Court of Utah Judicial District County Court Address Plaintiff/Petitioner v. Defendant/Respondent Declaration of Compliance with Subpoena Case Number Judge Commissioner 1. I have knowledge of the facts contained in this declaration. 2. The documents or tangible things copied or produced are a full and complete response to the subpoena. 3. The documents or tangible things are [ ] the originals. [ ] copies that are true copies of the originals. 4. The reasonable cost of copying or producing the documents or tangible things is $. American LegalNet, Inc. www.FormsWorkFlow.com Declaration of Compliance with Subpoena Approved Board of District Court Judges August 22, 2008 Revised May 1, 2019 Page 2 of 3 I declare under criminal penalty under the law of Utah that everything stated in this document is true . Sign ed at (city, and state or country). Sign atu Date Printed Name Custodian of the records [ ] Attorney for the custodian of the records [ ] American LegalNet, Inc. www.FormsWorkFlow.com Declaration of Compliance with Subpoena Approved Board of District Court Judges August 22, 2008 Revised May 1, 2019 Page 3 of 3 Certificate of Service I certify that I filed wi th the court and am serv ing a copy of this Declaration of Compliance with Subpoena on the following people. Service Method Service Address Service Date [ ] Mail [ ] Hand Delivery [ ] E - filed [ ] Email [ ] Left at business (With person in charge or in receptacle for deliveries.) [ ] Left at home (With person of suitable age and discretion residing there.) [ ] Mail [ ] Hand Delivery [ ] E - filed [ ] Email [ ] Left at business (With person in charge or in receptacle for deliveries.) [ ] Left at home (With person of suitable age and discretion residing there.) [ ] Mail [ ] Hand Delivery [ ] E - filed [ ] Email [ ] Left at business (With person in charge or in receptacle for deliveries.) [ ] Left at home (With person of suitable age and discretion residing there.) Sign atu Date Printed Name American LegalNet, Inc. www.FormsWorkFlow.com