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Proof Of Mailing CU 01.0255 - Washington
| Proof Of Mailing Form. This is a Washington form and can be used in Nonparental Custody Domestic Relations Statewide . |
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SUPERIOR COURT OF WASHINGTON COUNTY OF In re the Custody of: NO. Child(ren), PROOF OF MAILING (AFML) Petitioner(s), and Clerks action required: ACCESS IS RESTRICTED PER GR Respondent(s). 22(c)(3) and 25 C.F.R. 23.11(e)(7) I certify under the penalty of perjury under the laws of the state of Washington that I am 18 years of age or older and I am not the Petitioner, and that on (date) I deposited one copy of the following documents: Nonparental Custody Petition Other: Indian Child Welfare Act Notice 25 U.S.C. 1912(a) in the U.S. mail, postage prepaid, certified (return receipt requested), addressed to the following persons at their last known mailing addresses: Name ______________________________________, mailing address: ________________________ ___________________________________________________________________________________ Name ______________________________________, mailing address: ________________________ ___________________________________________________________________________________ Name ______________________________________, mailing address: ________________________ ___________________________________________________________________________________ Signed at _______________________, [City ]___________ [State], on ____________________ [Date]. Signature Address Print Name PROOF OF MAILING (AFML) Page 1 of 1 WPF CU 01.0255 (6/2004) RCW 26.10.034(1)(b GR 22(), c)(3), 25 C.F.R. 23.11(e)(7)
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