Declaration of Service 226 Civil KCDC February 2017 KING COUNTY DISTRICT COURT STATE OF WASHINGTON , Plaintiff(s), v. , Defendant(s). No. DECLARATION OF SERVICE 1. I am over the age of 18 years, competent to be a witness, and not a party to this action. 2. On (date) at a.m./p.m. (time) at (city and state of service), I served (name of party served) at (address) the following document(s): Notice of Small Claim Civil Summons and Complaint Other: . 3. Service was made by delivery to (name), the party named above. a person of suitable age and discretion residing at the party222s usual place of abode. the (person authorized by RCW 4.28.080) of the defendant. I certify under penalty of perjury under the laws of the State of Washington the foregoing is true and correct. Dated: , at Washington. (City/County) Fees: Service Signature Mileage TOTAL Printed Name Title American LegalNet, Inc. www.FormsWorkFlow.com