Proof Of Personal Service {101}

Superior Court of Washington, County of In re: Petitioner/s (person/s who started this case): No. Proof of Personal Service (AFSR) And Respondent/s (other party/parties): Proof of Personal Service Server declares: 1. 2. My name is: I am 18 or older. . I am not a party to this case. Personal Service I served court documents for this case to (name of party): by (check one): giving the documents directly to him/her. giving the documents to (name): , a person of suitable age and discretion who lives at the same address as the party. 3. Date, time, and address of service Date: Address: Number and street city state zip Time: a.m. p.m. CR 4(g), RCW 4.28.080(15) Optional Form (05/2016) FL All Family 101 Proof of Personal Service p. 1 of 3 American LegalNet, Inc. www.FormsWorkFlow.com 4. List all documents you served (check all that apply): (The most common documents are listed below. Check only those documents that were served. Use the "Other" boxes to write in the title of each document you served that is not already listed.) Petition to/for Summons (Attach a copy.) Order Setting Case Schedule Notice Re Military Dependent Proposed Parenting Plan Proposed Child Support Order Proposed Child Support Worksheets Sealed Financial Documents Financial Declaration Declaration of: Notice of Hearing Motion for Temporary Family Law Order and Restraining Order Proposed Temporary Family Law Order Motion for Immediate Restraining Order (Ex Parte) Immediate Restraining Order (Ex Parte) and Hearing Notice Restraining Order Motion for Contempt Hearing Order to Go to Court for Contempt Hearing Notice of Intent to Move with Children (Relocation) Objection about Moving with Children and Petition about Changing a Parenting/ Custody Order (Relocation) Other: Other: Declaration of: Other: Other: 5. Fees charged for service Does not apply. Fees: $ _______ + Mileage $ _______ = Total: $________ 6. Other Information (if any): I declare under penalty of perjury under the laws of the state of Washington that the statements on this form are true. Signed at (city and state): Signature of server Date: Print or type name of server To the party having these documents served: File the original Proof of Personal Service with the court clerk. If you served a Restraining Order signed by the court, you must also give a copy of this Proof of Personal Service and a Law Enforcement Information Sheet to law enforcement. Proof of Personal Service p. 2 of 3 American LegalNet, Inc. www.FormsWorkFlow.com CR 4(g), RCW 4.28.080(15) Optional Form (05/2016) FL All Family 101 To the Server: check here if you personally served the documents outside Washington state. Your signature must be notarized or sworn before a court clerk. (For personal service in Washington state, your signature does not need to be notarized or sworn before a court clerk.) Signed and sworn to before me on (date): Signature of notary or court clerk . Print name of notary or court clerk I am a notary public in and for the state of: My commission expires: I am a court clerk in a court of record in (county): (Print seal above.) (state): CR 4(g), RCW 4.28.080(15) Optional Form (05/2016) FL All Family 101 Proof of Personal Service p. 3 of 3 American LegalNet, Inc. www.FormsWorkFlow.com