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Superior Court of Washington County of ________________________ In the Guardianship of: No. _______________________ Declaration of Service (AFSR) ______________________________, Incapacitated Person I declare: 1. 2. I am 18 years of age or older, I am not a party to this action, and I am competent to be a witness. I served true and correct copies of the: ________________________________________________________________ ________________________________________________________________ ________________________________________________________________. on (date) __________________ (time) __________________ to the following individuals at the following address by the method indicated: (If additional space is needed, attach a separate sheet of paper.) Name: _______________________ Address: _____________________ _____________________________ _____________________________ Hand Delivered (Personal Service) Regular 1st Class US Mail Certified Mail, Return Receipt Requested Other: Declaration of Service (AFSR)- Page 1 of 2 WPF GDN 04.0850 (07/2015) RCW 11.92.150 American LegalNet, Inc. www.FormsWorkFlow.com Name: ______________________ Address: ____________________ ____________________________ ____________________________ Name: ______________________ Address: ____________________ ____________________________ ____________________________ Name: ______________________ Address: ____________________ ____________________________ ____________________________ (Attach Return Receipt if service by certified mail.) Hand Delivered (Personal Service) Regular 1st Class US Mail Certified Mail, Return Receipt Requested Other: _______________ Hand Delivered (Personal Service) Regular 1st Class US Mail Certified Mail, Return Receipt Requested Other: ________________ Hand Delivered (Personal Service) Regular 1st Class US Mail Certified Mail, Return Receipt Requested Other: _______________ I declare under penalty of perjury under the laws of the State of Washington that the statements above are true and correct. Signed at ________________________ (City and State) on ________________ (Date). Signature Address Telephone/Fax Number Printed Name City State, Zip Code Email Address Declaration of Service (AFSR)- Page 2 of 2 WPF GDN 04.0850 (07/2015) RCW 11.92.150 American LegalNet, Inc. www.FormsWorkFlow.com