Tuesday, October 23, 2012

AFFIDAVIT IN SUPPORT OF APPLICATION FOR DEFERRAL OR WAIVER OF SERVICE OF PROCESS COSTS Name of Respondent/Defendant form 3


(COURT’S JURISDICTIONAL NAME AND ADDRESS HERE)

  Case Number:
Name of Petitioner/Plaintiff
AFFIDAVIT IN SUPPORT OF    
APPLICATION FOR DEFERRAL OR
WAIVER OF SERVICE OF PROCESS COSTS
Name of Respondent/Defendant

STATE OF ARIZONA         )
COUNTY OF ) ss.

STATEMENTS MADE TO THE COURT UNDER OATH.  I swear or affirm that the information in this application is true and correct.   I make this statement under the penalty of prosecution for perjury if it is determined that I did not tell the truth.

I have requested a deferral or waiver of the following fees in my case:

[  ] Fees for service of process by a sheriff, marshal, constable, or law enforcement agency:  In support of my request, I state that (check and complete any that apply):
[  ] I have attempted to obtain voluntary acceptance of service of process without success on the person to be served.
[  ] It would be useless or dangerous for me to try to obtain voluntary acceptance of service by the person to be served because (explain):


[  ] An enforceable injunction against harassment has been granted to me against the person to be served.

[  ] Fees for publication: In support of my request, I state that I have attempted to locate the person to be served but I have been unable to locate that person (check and complete any that apply):
[  ] This is what I did to try to find the other party (explain):


[  ] I have contacted the person(s) listed below to try to find the location of the other party.
NAME      ADDRESS



SIGNATURE UNDER PENALTY OF PERJURY


Today’s Date: Signature:                                                
Print Your Name:                                                                  
INFORMATION FOR SERVICE

You must provide the following information:

To the best of my knowledge, as of (date)                                                    , the last known address of the person to be served was:
(Street Address, City and State)