Notice Of Claim Counterclaim

When completed, return to: Spokane County District Court Civil & Small Claims PO Box 2352, Spokane WA 99210 IN THE DISTRICT COURT OF SPOKANE COUNTY WASHINGTON NO. Plaintiff, vs. Defendant. I DECLARE that I am not the plaintiff, defendant or a witness, and: PERSONAL SERVICE I served the Notice by delivering a true copy to the defendant, personally in SPOKANE County, State of Washington, as follows: Name of Defendant: Address Where Served: Date of Service: CERTIFICATE OF SERVICE SUBSTITUTE SERVICE I served the Notice by delivering a true copy to the defendant's usual place of residence in SPOKANE County, State of Washington, and leaving it with a person over 12 years of age residing there, as follows: Name of Defendant: Address Where Delivered: Name of Person Receiving Copy: Date of Service: SERVICE BY MAIL *MUST attach both the postal receipt AND the return receipt signed by the defendant* I served the Notice by depositing in the United States Post Office in County, State of , a true copy of the Notice enclosed in a sealed envelope having adequate postage and sent Certified Mail, Restricted Delivery, Return Receipt Requested, as follows: Address of Post Office: Mailing Address of Defendant: Addressed to (Name of Defendant): Date Mailed: I, the undersigned, declare under penalty of perjury that the foregoing is true and correct and that I was at the time of service of the above notice(s) a resident of the State of Washington over the age of 18 years and not a party to the above numbered claim. Server's Name (Printed) Server's Phone No. Server's Signature Server's Address City State Date Zip Code Certificate of Service RCW 12.40.040 - Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com