Fill and Sign the I Served Name with the Following Documents Form

Return of Service (RTS) - Page 1 of 2 WPF DRPSCU 01.0250 (6/2006) - CR 4(g), RCW 4.28.080(14) Superior Court of Washington County of In re: Petitioner, and Respondent. No. Return of Service (Optional Use) (RTS) I Declare : 1. I am over the age of 18 years, and I am not a party to this action. 2. I served ______________________________ [Nam e] with the following documents: [ ] summons, a copy of which is attached, and petition in this action [ ] Notice Re: Dependent of a Person in Military Service [ ] parenting plan or residential schedule [ ] child support order [ ] child support worksheets [ ] sealed financial source documents cover sheet and financial documents [ ] financial declaration [ ] notice of and motion for temporary order [ ] motion for and ex parte order [ ] adequate cause notice of hearing [ ] declarations of _______________________________________________________ [ ] motion for and orde r to show cause re: _____________________________________ [ ] other: Return of Service (RTS) - Page 2 of 2 WPF DRPSCU 01.0250 (6/2006) - CR 4(g), RCW 4.28.080(14) 3. The date, time and place of service were (if by mail refer to Paragraph 4 below): Date: __________________________Time: _______________________ a.m./p.m. Address: _________________________________________________ _________________________________________________ 4. Service was made pursuant to Civil Rule 4(d): [ ] by delivery to the person named in paragraph 2 above. [ ] by delivery to ______________________________ [Name] , a person of suitable age and discretion residing at the respondent’s usual abode. [ ] by publication as provided in RCW 4.28.100. (A copy of the summons is attached.) [ ] (check only if there is a court order authorizing service by mail) by mailing two copies postage prepaid to the person named in the order entered by the court on _______________ [Date]. One copy w as mailed by ordinary first class mail, the other copy was sent by certified mail return receipt requested. (Attach return receipt below.) The copies were ma iled on _______________ [Date]. 5. Service of Notice on Dependent of a Person in Military Service. [ ] The Notice to Dependent of Person in M ilitary Service was [ ] served on [ ] mailed by first class mail on _________________________________ [Date]. [ ] Other: 6. Other: I declare under penalty of perjury under the laws of th e state of Washington that the foregoing is true and correct. Signed at ________________________, [City] ______________ [State] on _________________ [Date]. Signature Print or Type Name Fees: Service Mileage Total (Attach Return Receipt here, if service was by mail.)