Wisconsin > Statewide > Circuit Court > Family Court
Affidavit Of Mailing FA-4121 - Wisconsin
| Affidavit Of Mailing Form. This is a Wisconsin form and can be used in Family Court Circuit Court Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
PRINT in BLACK ink Enter the name of the county in which this case is filed. Enter the name of the petitioner. If joint petitioners, enter the name of the wife. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY In Re: The marriage paternity of For Official Use Petitioner/Joint Petitioner-Wife: First name Middle name Last name Enter the name of the respondent. If joint petitioners, enter the name of the husband. Enter the case number. and Respondent/Joint Petitioner-Husband: Affidavit of Mailing First name Middle name Last name Case No. AFTER you have mailed the documents, you must complete the information to the right by checking the boxes indicating the specific documents that you mailed. UNDER OATH I STATE: I placed in an envelope a copy of the following documents: A blank Financial Disclosure Statement Requirement to attend parent education Motion for: If a motion, enter the type of motion. If other, enter the name of the document. Motion for: Other: Other: Enter the date [month, day, year] on which you placed the documents in a mailbox, and the name and address of the person to whom you mailed them. I mailed that envelope with proper postage affixed on (Date) Name Address Address City State to Zip Take this document to a Notary Public BEFORE you sign it. After you have been sworn by a Notary Public, sign and print your name and date the document in front of the Notary Public. Have the Notary Public sign, date, and seal the document. STOP! Subscribed and sworn to before me on Signature Print or Type Name Notary Public, State of Wisconsin My commission expires: Date (Seal) FA-4121V, 10/06 Affidavit of Mailing ยง801.14, Wisconsin Statutes American LegalNet, Inc. www.FormsWorkFlow.com This form shall not be modified. It may be supplemented with additional material.
|
|||||||
