Acceptance Of Service

Name: Mailing Address: Daytime Telephone Representing Self, Without a Lawyer IN THE SUPERIOR COURT OF ARIZONA, YAVAPAI COUNTY Regarding the matter of ____ 1300DO Petitioner/Plaintiff and ACCEPTANCE OF SERVICE IN STATE OUT OF STATE Respondent/Defendant THE PERSON WHO SIGNED BELOW MAKES THESE STATEMENTS UNDER OATH: 1. COURT PAPERS: I acknowledge that I have voluntarily accepted copies of the following legal papers (Check the boxes that apply under your type of case. Do not check the box unless you received a copy of the document.) DIVORCE OR ANNULMENT: with children without children [ ] Petition [ ] Petition [ ] Summons [ ] Summons [ ] Preliminary Injunction [ ] Preliminary Injunction [ ] Health Insurance Notice [ ] Health Insurance Notice [ ] Parent Education Program Notice [ ] Notice to Creditors [ ] Order to Parent Education Program [ ] [ ] Notice to Creditors [ ] Parent's Worksheet for Child Support Amount [] LEGAL SEPARATION: with children without children [ ] Petition [ ] Petition [ ] Summons [ ] Summons [ ] Preliminary Injunction [ ] Preliminary Injunction [ ] Parent Education Program Notice [ ] Notice to Creditors [ ] Order to Parent Education Program [ ] Parent's Worksheet for Child Support Amount [ ] Notice to Creditors Superior Court of Arizona in Yavapai County November 2011 PATERNITY: [ ] Complaint [ ] Summons [ ] Parent Education Program Notice [ ] Order to Parent Education Program [] [] CIVIL CASE: [ [ [ [ [ [ ] Complaint ] Certificate of Compulsory Arbitration ] Summons ] ] ] GN22f Page 1 of 2 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com 2. ACCEPT AND WAIVE FORMAL SERVICE. I waive formal service of process (service by a process server or sheriff), and understand by accepting these papers, it is the same as if I were personally served under Arizona Law [Rules 40-43, Arizona Rules of Family Law Procedure] or [Rules 4,4.1, 4.2, Arizona Rules of Civil Procedure]. 3. RESPONSE DEADLINE. I am aware that by accepting service of these court papers and signing this paper, my right or obligation to file a written Response or Answer to this action is not affected. I understand that if I do not agree with any relief asked for in the Petition, I must Respond or Answer within 20 days from the day I signed the original of this Acceptance of Service, if I accepted service in Arizona, or 30 days from the day I signed the original of this Acceptance of Service, if I received the papers somewhere other than Arizona. 4. DEFAULT JUDGMENT, ORDER OR DECREE. I understand that if I do not appear and defend in this action in Court, within the time allowed by law, that I may lose my right to be heard in this case. I understand that failure to Respond or Answer could result in the Court giving the other party any and all things requested in his or her legal papers, through a Default Judgment, Order or Decree. 5. MILITARY SERVICE. I am not in the military forces of the United States of America in any capacity or, if I am in the military forces of the United States of America, I waive the protection of the Servicemember's Civil Relief Act of 2003. OATH AND VERIFICATION STATE OF ARIZONA County of ) ) ss I, the Respondent, being duly sworn and under oath, state that I have received the above listed documents and read this Acceptance of Service. Signature ______________________________________ Printed name _______________________________________ Mailing address _______________________________________ City State Zip SUBSCRIBED AND SWORN to before me this by . Notary Public My Commission Expires: day of , 20 , Superior Court of Arizona in Yavapai County November 2011 GN22f Page 2 of 2 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com