IN THE CIRCUIT COURT OF ______________ COUNTY, ARKANSAS ____________ DIVISION
IN RE: CHILD’S NAME
AFFIDAVIT OF PROOF OF SERVICE BY CERTIFIED MAIL STATE OF ARKANSAS COUNTY OF PULASKI
) ) SS )
COMES NOW the undersigned and states on oath: 1. I am the Petitioner in this action. 2. In accordance with Arkansas Rule of Civil Procedure 4(d)(8)I have caused service to be made on the Defendant by doing the following: I have caused Summons, Petition for ______________, and (any other appropriate documents) to be served on the Respondent by serving him/her by certified mail, restricted delivery, the receipt of which is attached hereto as Exhibit “A.” FURTHER YOUR AFFIANT SAYETH NOT.
___________________ PETITIONER NAME PETITIONER ADDRESS PETITIONER PHONE NUMBER
SUBSCRIBED AND SWORN TO before me this _____day of __________, _______. _______________________________ Notary Public My Commission Expires: ___________________