CV-465, 01/09 Affidavit of Attempted Service on Non-Petitioning Parent 247247786.36(1m) and 786.37(2), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional materials Enter the name of the county in which this case was filed. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY Enter the name of the minor child whose name is proposed to be change. IN THE MATTER OF THE NAME C HANGE OF First Name Middle Name Last Name E nter the case number on the far right . Amended A ffidavit of Attempted Service on Non - P etitioning Parent Case No. The Petitioner states: 1. I have exercised reasonable diligence in attempting to locate and to notify the non - petitioning parent in this matter and : In 1, check all that apply and complete the required information . The Sheriff or other process server has been unable to serve the petition and notice of hearing on the non - petitioner at the last known address as evidenced by the attached Affidavit/Certificate o f Non - Service. I went to the last known address on [Date] and was told by the occupants that the non - petitioner no longer lives at that address. I last had contact with or saw the non - petitioner on [Date] . I contacted the non - petitioner [Date] . They have no knowledge of the non - petitioner I have no knowledge of the non - petitioner Other: In 2, enter the last known address of the non - petitioning parent. 2. T he last address of the non - petitioning parent is not known. is and I have mailed the petition and notice of hearing to the last known address which has has not been returned to me by the US Post Office. 3. I have published the required notice of hearing and will bring the Affidavit of Publication to the hearing. STOP! Take this document to a Notary Public BEFORE you sign it. After you have been sworn by a Notary Public, sign and print your name and date the document in front of the Notary Public. State of County of Subscribed and sworn to before me on Notary Public/Court Official Name Printed or Typed My commission/term expires: Signature Print or Type Name Date American LegalNet, Inc. www.FormsWorkFlow.com