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IN THE DISTRICT COURT OF THE 		 JUDICIAL DISTRICT
OF THE STATE OF IDAHO, IN AND FOR THE COUNTY OF 				

In the Matter of

                                                                           ,

DOB:                                         		
                                                 a Minor.
	
       Case No.: 				
       
AFFIDAVIT OF SERVICE OF PETITION FOR APPOINTMENT

1.  On (Date) 							, I served copies of the Petition for Appointment of Guardian of a Minor,
and: (Check all additional documents served)
  Sworn Consent to Appointment of Guardian; 
  Nomination by a Minor;
  Waiver of Notice;
  Notice of Guardianship Petition and Hearing;
  Other (specify) 										
													, 

to: (Name) 								  at the following address: 

by:	 Certified Mail     Registered Mail     First Class Mail	 Personal delivery
								
CERTIFICATION UNDER PENALTY OF PERJURY
I certify under penalty of perjury pursuant to the law of the State of Idaho that the 
foregoing is true and correct. 

Date: 						 							
							Signature

Typed/Printed Name