Free STATE OF WYOMING - Wyoming

STATE OF WYOMING

) )ss. COUNTY OF __________________) ___________________________________ ) Petitioner, ) ) vs. ) ) ___________________________________ ) Respondent. )

IN THE DISTRICT COURT _____________ JUDICIAL DISTRICT Civil Action No. __________________

AFFIDAVIT TO ALLOW SERVICE BY PUBLICATION

STATE OF WYOMING

) ) ss. COUNTY OF ___________ ) The Petitioner, being duly sworn upon her/his oath and being of legal age, states and alleges as follows: 1. I am the Petitioner in the above referenced matter. Service of a Summons cannot be made within this state on the Respondent. 2. The Respondent's address is: (if unknown, got to #3) ________________________________________________________________ ________________________________________________________________ NOTE: Immediately after the first publication, you must deliver to the clerk of district court a copy of the publication notice and an envelope to be sent by certified mail/restricted delivery addressed to Respondent with proper postage. The Clerk shall then mail the notice and make an entry on the appearance docket. (Rule 4(f) Wyoming Rules of Civil Procedure). OR The Respondent's address is unknown and cannot with reasonable diligence be ascertained. Publication is allowed in this family law matter pursuant to Rule 4(e)(9) Wyoming Rules of Civil Procedure. Thus I have made the following efforts to obtain the Respondent's address:

3.

CSMod 9 Affidavit to Allow Service By Publication Revised July 2006 Page 1 of 2

I have called him/her and the telephone number is disconnected and directory assistance has no other telephone number. I have written the Respondent and my letter was returned [a copy is attached]. I have contacted the Respondent's known relatives and they cannot supply a current address. Other: _____________________________________________ 4. I am requesting service by publication in this action as it is an action pursuant to Rule 4 (e) (9) of the Wyoming Rules of Civil Procedure. FURTHER, I swear under penalty of perjury that the information I have provided on this form is true and correct. DATED this _____ day of ______________________, 20___.

______________________________________ Petitioner's Signature Printed Name: __________________________ Address: _______________________________ _______________________________ Phone Number: __________________________

Subscribed and sworn to before me on this ____ day of ________________, 20___. WITNESS my hand and notary seal. _________________________________ Notary Public / Court Clerk My commission expires:

CSMod 9 Affidavit to Allow Service By Publication Revised July 2006 Page 2 of 2