(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)
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