I-K-2

Superior Court of the District of Columbia
PROBATE DIVISION IN RE: ____________________________________ An Adult Intervention Proceeding No.__________________________

AFFIDAVIT OF SERVICE BY MAIL

I, ____________________________________ being first duly sworn, say : That I am over the age of eighteen years and am not a party to the above entitled action and that my address is ____________________________________________________________________________ ________________________________________________________________________ That on the ______ day of ____________________, 20______ I served the attached Notice of Hearing on Petition on the person or persons named below by placing in an official depository of the United States Postal Service a copy of the Notice of Hearing on Petition enclosed in an envelope, postage prepaid, addressed to the person or persons as set forth below.

Names of Persons Served

Address

Date of Mailing

_______________________ _____________________________________ _________________ _______________________ _____________________________________ _________________ _______________________ _____________________________________ _________________ _______________________ _____________________________________ _________________

_________________________________________ Affiant's Signature Subscribed and sworn before me _____________________________, 20 ______ .

_______________________________ Notary Public/Clerk