Free STATE OF WYOMING - Wyoming


File Size: 17.7 kB
Pages: 2
Date: September 29, 2006
File Format: PDF
State: Wyoming
Category: Court Forms - State
Author: Amanda Widup
Word Count: 307 Words, 2,189 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.courts.state.wy.us/Pro%20Se%20Divorce%20Forms/CSMod/CSMod12.pdf

Download STATE OF WYOMING ( 17.7 kB)


Preview STATE OF WYOMING
STATE OF WYOMING

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

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

AFFIDAVIT TO ALLOW SERVICE BY REGISTERED OR CERTIFIED MAIL

STATE OF WYOMING

) ) ss. COUNTY OF ___________ ) The Petitioner-Affiant, being duly sworn upon her/his oath and being of legal age, hereby states and alleges as follows: 1. I am the Petitioner in the above referenced matter. Service of Summons cannot be made within the state. 2. The Respondent's address is: __________________________________________ _________________________________________________________________ 3. In accordance with Wyoming Rules of Civil Procedure 4(l)(2), upon the request of any party the clerk shall send by registered or certified mail a copy of the Petition to Modify Child Support and Judgment for Arrears and Summons addressed to the party to be served at the address given in this affidavit. The mail shall be sent marked "Restricted Delivery", requesting a return receipt signed by the addressee or the addressee's agent who has been specifically authorized in writing by a form acceptable to, and deposited with, the postal authorities. When such return receipt is received signed by the addressee or the addressee's agent the clerk shall file the same and enter a certificate in the cause showing the making of such service.

4. That I am requesting service by certified mail because the Respondent cannot be served within the state.
CSMod 12 Affidavit to Allow Service by Registered or Certified Mail Revised July 2006 Page 1 of 2

FURTHER, I swear under penalty of perjury that the information provided in this form is true and correct. DATED this ____ day of ______________, 20___.

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 12 Affidavit to Allow Service by Registered or Certified Mail Revised July 2006 Page 2 of 2