1108GE J Approved May 21, 2018 / Revised Ma y 1, 2019 Affidavit with Exhibit (s) Page 1 of 4 This is a private record Name Address City, State, Zip Phone Check your email. You will receive information and documents at this email address. Email I am [ ] Petitioner [ ] Respondent [ ] Petitioner [ ] Respondent (Utah Bar #: ) In the District Court of Utah Ju dicial District County Court Address Petitioner v. Respondent Affidavi t with Exhibit (s) (Commissioner c as es o nly ; U tah R ule of C ivil P rocedure 101 ) Case Number Judge Commissioner (name) says: 1. I am the [ ] petitioner [ ] respondent [ ] other (Describe.) 2. I am submitting the following exhibit(s) in support of my [ ] Motion to (name of motion). [ ] Memorandum Opposing Motion to (name of motion). American LegalNet, Inc. www.FormsWorkFlow.com 1108GE J Approved May 21, 2018 / Revised Ma y 1, 2019 Affidavit with Exhibit (s) Page 2 of 4 [ ] Reply Memorandum Supporting Motion to (name of motion). [ ] Other 3. For each exhibit provide a name, a brief summary of the contents, and explain the "foundation" how you came to have the item, or what you know about the item to prove it is authentic. (Attach additional sheets if needed.) Exhibit A Name Summary of Contents Foundation Exhibit B Name S ummary of Contents Foundation Exhibit C Name Summary of Contents Foundation Exhibit D Name Summary of Contents Foundation American LegalNet, Inc. www.FormsWorkFlow.com 1108GE J Approved May 21, 2018 / Revised Ma y 1, 2019 Affidavit with Exhibit (s) Page 3 of 4 4. [ ] One or more of my exhibits is longer than 10 pages. I am providing a summary of those exhibits as a separate chart, list, spreadsheet or calculation. (The Exhibit Summary form is available on the court's website: www.utcourts.gov) I declare under criminal penalty under the law of Utah that everything stated in this document is true . Signed at (city, and state or country). Sign atu Date Printed Name American LegalNet, Inc. www.FormsWorkFlow.com 1108GE J Approved May 21, 2018 / Revised Ma y 1, 2019 Affidavit with Exhibit (s) Page 4 of 4 Certificate of Service I certify that I filed with the court and am serving a copy of this Affidavit with Exhibit(s) on the following people. Service Method Service Address Service Date [ ] Mail [ ] Hand Delivery [ ] E - filed [ ] Email [ ] Left at business (Wit h 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