Financial Declaration Page 10

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I declare under criminal penalty of Utah Code Section 78B-5-705 that this Financial
Declaration is true and correct, to the best of my information and belief, and that I have
omitted nothing that is relevant to my financial status.
Sign here ►
Date
Typed or printed name
Certificate of Service
I certify that I served a copy of this Financial Declaration on the following people.
Served at this
Served on
Person’s Name
Method of Service
Address
this Date
Mail
Hand Delivery
Fax
(Person agreed to service by fax.)
Email
(Person agreed to service by email.)
Left at business
(With person in charge
or in receptacle for deliveries.)
Left at home
(With person of suitable age
(Other Party or Attorney)
and discretion residing there.)
Mail
Hand Delivery
(Clerk of Court)
Electronic File
Mail
Hand Delivery
Fax
(Person agreed to service by fax.)
Email
(Person agreed to service by email.)
Left at business
(With person in charge
or in receptacle for deliveries.)
Left at home
(With person of suitable age
and discretion residing there.)
Financial Declaration
Approved Board of District Court Judges September 10, 2008
Page 10 of 11

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