Fill and Sign the On the Day of 20 the Preliminary Twenty Form

Affidavit of Mailing Page 1 of 1 AFFIDAVIT OF MAILING--INDIVIDUAL STATE OF ARIZONACOUNTY OF _________________________ On the _____ day of _________________ ,20______, the Preliminary Twenty Day Notice was mailed to _____________________________________ at ____________________________________. ______________________________________ would hereby show that ___________________________________ has failed to complete the acknowledgment or failed to complete and return the acknowledgment within thirty days from the date of mailing. Proof of mailing is hereby made by affidavit of the person making the mailing. The time, place and manner of mailing were ___________________________________. The facts showing that such service was made in accordance with Arizona Revised Statutes § 33- 992.01 are ________________________________. The name and address of the person to whom a copy of the Preliminary Twenty Day Notice was mailed is __________________________________. The title or capacity in which he was given the notice is ____________________________________. If mailing was made by first class mail sent with a certificate of mailing, the certificate of mailing is attached to this Affidavit. If the mailing was by certified or registered mail, the receipt of certification or registration is attached to the Affidavit.This the _____ day of ____________, 20_____. _________________________ Signature ____________________Print or Type NameState of ArizonaCounty of ______________________________ The foregoing instrument was acknowledged and sworn to before me this _________ day of ______________________, ____________, by _____________________________ (person). ______________________________ (seal) NOTARY PUBLIC Print Name:____________________ My Commission Expires: ____________________AZ § 33.992.02