PIERCE COUNTY DISTRICT COURT 930 Tacoma Ave S Rm 239 Tacoma, WA 98335 www.piercecountywa.org/districtcrt _________________________________________________ Plaintiff(s) vs. Case No. ________________ Declaration of Service of _________________________________________________ Defendant(s) I DECLARE that I am not the plaintiff, defendant or a witness, and: PERSONAL SERVICE ______________________________________ I served the Notice by delivering a true copy to the defendant personally in __________________ County, State of Washington, as follows: Name of Defendant Address Where Served Date of Service __________________________ SUBSTITUTE SERVICE I served the Notice by delivering a true copy to the defendant's usual place of abode in _________________ County, State of Washington, and leaving it with a person over 12 years of age residing there, as follows: Name of Defendant Address Where Delivered Name of Person Date of Service Receiving Copy _________________ __________________________ _________________ ________________ __________________________________ ___________________ SERVICE BY MAIL (Attach to this form both the postal receipt and the return receipt signed by the defendant.) I served the Notice by depositing in the United States Post Office in __________________ County, State of Washington, a true copy of the Notice enclosed in a sealed envelope having adequate postage and sent Certified Mail, Restricted Delivery, Return Receipt Requested, as follows: Address of Post Office Date Mailed Addressed to (Name of Defendant): Mailing Address of Defendant ___________________ __________ ______________________________ __________________________ I, the undersigned, declare under penalty of perjury of the laws of the State of Washington that the foregoing is true and correct and that I was at the time of service of the above notice(s) a resident of the State of Washington over the age of 18 years and not a party to the above numbered case. Date Signature of Server Server's Phone No. Address of Server One copy of this form must be filed with the Court. Wpfiles/forms/Civil Declaration of Service 0309 American LegalNet, Inc. www.FormsWorkFlow.com