Affidavit of Mailing Form - Pima County Attorney's Office

Affidavit of Mailing

AFFIDAVIT OF MAILING THE DEMAND FOR PAYMENT

Your Name(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

I,(Required)

, being first sworn, depose and state that I mailed, by regular first class mail, on

Date(Required)

a Demand for Payment Notice, form

Form(Required)

addressed as follows:

Check Writer Name(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Dated(Required)

Signature(Required)

(Print Name)(Required)

Date(Required)

Notary Public(Required)

My Commission Expires(Required)