Fax Transmittal Sheet

APPENDIX 8 FAX TRANSMITTAL SHEET FOR FILING IN THE JEFFERSON COUNTY SUPERIOR COURT OF THE STATE OF WASHINGTON (per GR 17) ONLY FOR DOCUMENTS TO BE FILED IN THE COURT FILE - FEE REQUIRED RUTH GORDON, JEFFERSON COUNTY CLERK FAX Number: (360) 385-5672 FAX Fee = $5.00 1st page + $1.00 per page thereafter. Cause Number: Person Filing: Firm Name: Address: Phone Number:( ) Case Caption: Date: FAX Contact: City/State/Zip: FAX Number:( ) VS 360-385-9125 # Pages (not counting this Sheet): Payment Verification # PAGE LIMIT: To send single transmissions exceeding twenty (20) pages during regular business hours (8:30 a.m. to 4:30 p.m. Monday through Friday), you must have permission from the Clerk's Office. (Please call in advance) The transmission may need to be scheduled for low use hours. We do not count the FAX COVER SHEET toward this limit. There is no page limit for transmissions after regular business hours. FAX filing is available 24 hours per day, 7 days per week. Do Not Send the Original. (Attach GR 17(b)(2) Affidavit/Declaration ­ LCR Appendix 9) FAX FEE: The Clerk's FAX fee is $5.00 for the first page and $1.00 for each page thereafter. You must also prepay any fees normally required upon filing pleadings in our court. You may pay by credit or debit card or via the the "Court Payments" link on our web page, http://www.co.jefferson.wa.us/Clerk/default.asp. You must enter the last four digits of your Payment Verification Number in appropriate field above. Read and sign the "FAX FEE REMITTANCE CERTIFICATION", below. Our payment agent will charge you a convenience fee for using their service in addition to your filing fees and FAX fees. FILING FEE: Documents requiring filing fees may be FAXed. These include, but are not limited to, original petitions or complaints, jury demands, writs, notices of appeal, and petitions to modify child support. Payment must be made prior to FAX filing. Verification number must be indicated above. FAX FEE PAYMENT NOTICE: I have prepaid all necessary fees and have included my verification number above for $________, which includes the FAX fee for ________ pages of the accompanying document. Signature___________________________________________ USE ONLY THIS COVER SHEET TO FILE BY FAX American LegalNet, Inc. www.FormsWorkFlow.com