Fill and Sign the Wa Certificate Service Form

IN THE DISTRICT COURT OF ________________________ COUNTY WASHINGTON Plaintiff, vs. Defendant. NO. CERTIFICATE OF SERVICE I DECLARE that I am not the plaintiff, defendant or a witness, and: PERSONAL SERVICE I served the Notice by delivering a true copy to the defendant personally in ______________ County, State of Washington, as follows: Name of Defendant Address Where Served Date of Service __________________________ __________________________________ ___________________ SUBSTITUTE SERVICE I served the Notice by delivering a true copy to the defendant’s usual place of abode in ______________ County, State of Washington, and leaving it with a person over 12 years of age residing there, as follows: Name of Defendant Address Where Delivered Name of Person Date of Service Receiving Copy _________________ __________________________ _________________ ________________ SERVICE BY MAIL (Attach to this form both the postal receipt and the return receipt signed by the defendant.) I served the Notice by depositing in the United States Post Office in County, State of Washington, a true copy of the Notice enclosed in a sealed envelope having adequate postage and sent Certified Mail, Restricted Delivery, Return Receipt Requested, as follows: Address of Post Office Date Mailed Addressed to (Name of Defendant): Mailing Address of Defendant ___________________ __________ ______________________________ __________________________ I, the undersigned, declare under penalty of perjury that the foregoing is true and correct and that I was at the time of service of the above notice(s) a resident of the State of Washington over the age of 18 years and not a party to the above numbered claim. DATED: Signature of Server Server’s Phone No. Address of Server Certificate of Service - Page 1 of 1 MISC 05.0200 (6/2004) RCW 12.40.040