1021GE J Approved January 22, 2018 / Revised May 1, 2019 Certificate of Service Page 1 of 3 Name Address City, State, Zip Phone Check your email. You will receive information and documents at this email address . Email I am [ ] Plaintiff/Petitioner [ ] Defendant/Respondent [ ] Plaintiff/Petitioner [ ] Defendant/Respondent (Utah Bar #: ) In the [ ] District [ ] Justice Court of Utah Judicial District County Court Address Plaintiff/Petitioner v. Defendant/Respondent Certificate of Service (Utah Rule of Civil Procedure 5) Case Number Judge Commissioner (domestic cases) I certify that I served a copy of (document name), which was filed with the court on (date). I delivered the document as indicated below. American LegalNet, Inc. www.FormsWorkFlow.com 1021GE J Approved January 22, 2018 / Revised May 1, 2019 Certificate of Service Page 2 of 3 Method of Service Served at this Address Serve d on this 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 re siding 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 discretio n residing there.) Sign atu Date Printed Name American LegalNet, Inc. www.FormsWorkFlow.com 1021GE J Approved January 22, 2018 / Revised May 1, 2019 Certificate of Service Page 3 of 3 Certificate of Service I certify that I filed with the court and am serv ing a copy of this Certificate of Service 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.) [ ] Mai l [ ] 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