Free Proof of Service - Arizona

For Clerk's Use Only

Person Filing: Mailing Address: City, State, Zip: Day/Evening Phone: Person Filing is: If Attorney, Bar No.:

/ SELF (No Attorney) OR Attorney Atty. Phone:

IN

SUPERIOR COURT OF ARIZONA COUNTY JUVENILE COURT
Case Number: PROOF OF SERVICE

In the Matter of the Emancipation of:
A Minor

Pursuant to Arizona Rules of Civil Procedure, Rule 4.2(c), the following party has been served a filed copy of the Petition for Emancipation in the above case. Attached is the Return Receipt and supporting information to document the Proof of Service. Person Served: _________________________________________________________________ Address of Person Served: ________________________________________________________ Date of original mailing: ___________________________________________________________ Date of receipt by Person Served: ___________________________________________________ Attachment of Service:

Tape your Return Receipt Here

Page 1 of 2
Service - Petition Proof of Service Use only current version

Case Number:

OATH OR AFFIRMATION OF INDIVIDUAL COMPLETING SERVICE
I swear or affirm that the information provide above is true and correct to the best of my knowledge, information, and belief, under penalty of law.

Signature

Date

Subscribed and sworn to or affirmed before me this date:

Clerk of Superior Court

OR Notary My Commission Expires: Deputy Clerk

Page 2 of 2
Service - Petition Proof of Service Use only current version