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Return Of Service DRPSCU 01.0250 - Washington
| Return Of Service Form. This is a Washington form and can be used in General Domestic Relations Statewide . |
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SUPERIOR COURT OF WASHINGTON COUNTY OF In re: NO. Petitioner, RETURN OF SERVICE and (OPTIONAL USE) (RTS) Respondent. I DECLARE: 1. I am over the age of 18 years, and I am not a party to this action. Nam 2. I served ______________________________ [Nam [ ] summons, a copy of which is attached, and petition in this action [ ] parenting plan or residential schedule [ ] child support order [ ] child support worksheets [ ] sealed financial source documents cover sheet and financial documents [ ] financial declaration [ ] notice of and motion for temporary order [ ] motion for and ex parte order [ ] adequate cause notice of hearing [ ] declarations of _______________________________________________________ [ ] motion for and order to show cause re: _____________________________________. [ ] other: RETURN OF SERVICE (RTS) - Page 1 of 2 WPF DRPSCU 01.0250 (6/2004) - CR 4(g), RCW 4.28.080(14) <<<<<<<<<********>>>>>>>>>>>>> 23. The date, time and place of service were (if by mail refer to Paragraph 4 below): Date: __________________________Time: _______________________ a.m./p.m. Address: _________________________________________________ _________________________________________________ 4. Service was made pursuant to Civil Rule 4(d): [ ] by delivery to the person named in paragraph 2 above. [ ] by delivery to ______________________________ [Name], a person of suitable age and discretion residing at the respondents usual abode. [ ] by publication as provided in RCW 4.28.100. (A copy of the summons is attached.) [ ] (check only if there is a court order authorizing service by mail) by mailing two copies postage prepaid to the person name the order entered byd in the court on _______________ [Date]. One copy was mailed by ordinary first class mail, the other copy was sent by certified mail return receipt requested. (Attach return receipt below.) The copies were miled on _______________ [a Date]. 5. Other: I declare under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. Signed at ________________________, [City] ______________ [State], on _________________ [Date]. Signature Print or Type Name Fees: Service Mileage Total (Attach Return Receipt here, if service was by mail.) RETURN OF SERVICE (RTS) - Page 2 of 2 WPF DRPSCU 01.0250 (6/2004) - CR 4(g), RCW 4.28.080(14)
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