Free 2F-E-298StatementMailExhibit - Hawaii

STATE OF HAWAI`I FAMILY COURT SECOND CIRCUIT

CASE NUMBER

STATEMENT OF MAILING EXHIBIT "1" AND "2"
PLAINTIFF, (Full Name)

FC-D NO.

This document is prepared by: Plaintiff Attorney for Plaintiff

_________________________________________________ Name _________________________________________________ _________________________________________________ Address _________________________________________________ City, State, Zip Code _________________________________________________ Telephone Number

vs.

DEFENDANT. (Full Name)

STATEMENT OF MAILING
I REPRESENT THAT I caused one certified copy each of the Complaint for Divorce; Summons to Answer Complaint; and Motion for Service by Mail and Affidavit; Order for Service by Mail; and ___________________________________ , to be mailed by certified or registered mail, return receipt requested, restricted delivery to : Defendant's Name: ________________________________________________________________________________ Defendant's Address: ______________________________________________________________________________ ______________________________________________________________________________ City, State, Zip Code: ______________________________________________________________________________

Defendant At the time of mailing, the receipt attached hereto as Exhibit "1" was postmarked and dated. Thereafter, the return receipt attached as Exhibit "2" was received.

EXHIBIT "1"

EXHIBIT "2"

DATE

PLAINTIFF'S SIGNATURE

Reprographics (01/09)

STATEMENT OF MAILING; EXHIBIT "1" AND "2" 2F-E-298

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