[Firm Name]

[Firm Address]

[Firm Phone Number]

[Firm Fax]

[Firm Email]

[Attorney Name and Bar Number]

Attorney for Plaintiff(s)


Arizona Superior Court, Yavapai County


[Plaintiff Name(s)],










Case No.




Assigned to the Hon. [Judge]




[Affiant], being duly sworn, upon oath, deposes and says as follows:

  1. I am the attorney for plaintiff in this action and submit this Affidavit to demonstrate the circumstances warranting the use of direct service of process outside the State of Arizona authorized by Ariz. R. Civ. P. 4.2(b) (2017) and to establish the completion of such service.
  2. Defendant [Defendant] is an individual who does not reside within the State of Arizona but has caused an event to occur within this state which gives rise to plaintiff’s claims herein. Defendant’s current residence address is: [Defendant’s Address].
  3. On [date of service], I caused a Summons and a true copy of the Complaint in this action to be delivered to [process server], a person authorized to serve process under the laws of the state of defendant’s residence, with a request that they be served upon defendant in accordance with the laws of such state.
  4. There is annexed to this Affidavit the original Affidavit of Service of Process, duly executed by [process server], evidencing that the Summons and Complaint in this action were served upon defendant [Defendant] by personal delivery on [date of service].

Dated this [Day] of [Month], [Year].



[Plaintiff’s Attorney]

[Firm Name]

[Firm Address]

Attorney for Plaintiff