Declaration of Service - Washington State



|SUPERIOR COURT OF WASHINGTON | |

|COUNTY OF _______________________ | |

|JUVENILE COURT | |

| | |

|STATE OF WASHINGTON v. | |

| |NO: |

| | |

| |DECLARATION OF SERVICE |

| |(AFSR) |

|Respondent(s). | |

|D.O.B.: | |

I, __________________________________, hereby declare as follows:

1. I am over the age of 18 years and not a party to this action. My business/residence address is: __________________________________________________________________________

2. On ________________________(Date), I served __________________________________(Name)

with the following documents:

3. Address(es) of service:

4. Service was made as indicated below:

( By delivery to the person named by a peace officer.

( By mailing to the person named at the address(es) of service.

I declare under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct.

Signed at _______________________________, Washington on _______________________________.

(Place) (Date)

_____________________________________________

Signature

_____________________________________________

Type or Print Name

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