Fill and Sign the I Am the Plaintiffpetitioner in the above Referenced Matter Form

Affidavit Following Service By Publication July 2014 Page 1 of 2 STATE OF WYOMING ) IN THE DISTRICT COURT ) ss COUNTY OF ________________ ) _______________ JUDICIAL DISTRICT Plaintiff/Petitioner: , ) Civil Ac tion Case No. ___________ (Print name of person filing) ) ) vs. ) ) Defendant/Respondent: ______________________ . ) (Print name of other party) AFFIDAVIT FOLLOWING SERVICE BY PUBLICATION The Plaintiff /Petitioner , being duly sworn upon her/his oath and lega l age, states and alleges as follows: 1. I am the Plaintiff /Petitioner in the above -referenced matter. 2. The Defendant /Respondent ’s address was known and Defendant /Respondent resided out -of-state. The Defendant /Respondent was served by public ation once a week for four consecutive weeks and more than 30 days have elapsed since the date of the last publication. A copy of the Affidavit of Publisher (usually sent to Plaintiff /Petitioner by newspaper) is attached; AND A copy of the notice of publication was sent by the Clerk of District Court, certified mail to the Defendant /Respondent ; AND A copy of the green card was signed and is included in the court’s file; OR The letter was not signed for, see envelope in the court file. OR The Defendant /Respondent ’s address was unknown despite diligent efforts to discover the address. The Defendant /Respondent was served by publication once a week for four consecutive weeks. More than 30 days have elapsed since the last publication. Affidavit Following Service By Publication July 2014 Page 2 of 2 A copy of the Affidavit of Publisher (usually sent to Plaintiff/Petitioner by newspaper) is attached. FURTHER, your a ffiant sayeth not. 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 official seal. ________________________ ____ Notarial Officer M y commission e xpires: ________ ______