Form Rf 112 – Fill Out and Use This PDF

The undersigned Applicant states the following:

1.Applicant is a citizen of the United States over the age of 18 years, and is competent to testify to the facts stated herein, which describe the circumstances warranting service by publication on the following Judgment Debtor:

__________________________________________________________________________________________________

2.Judgment Debtor does not hold a current license issued by the Department of Real Estate.

3.Judgment Debtor was last known to reside in: City_______________, County _________________, State.

4.Pursuant to A.R.S. §32-2188.01(B), Applicant attempted to serve the Notice to Judgment Debtor (Form RF-

109)and Application for Payment from the Real Estate Recovery Fund (Form RF-107) on the Judgment Debtor by per- sonal service utilizing a licensed private process server. The process server performed a search to locate Judgment Debtor, and attempted personal service on the date(s) and at the address(es) listed in the process server’s affidavit(s), the original(s) of which are attached.

5.After exercising reasonable diligence, Applicant has been unable to ascertain the current whereabouts of the Judgment Debtor, and therefore has effected service by publishing the Notice to Judgment Debtor (Form RF-109) once a week for (2) two consecutive weeks in the newspaper identified in the attached Publisher’s Certificate. The newspaper identified in the certificate is one of general circulation in the county in which the judgment debtor was last known to reside.

CERTIFICATION BY APPLICANT

I declare that I have prepared and read the foregoing Proof of Service and know of my own knowledge that the facts, circumstances and statements made therein are true and correct.

EXECUTED on __________________, 200___,		Signature:
at ____________________________, Arizona.	X __________________________________________________
Applicant’s Name:		__________________________________________________
	Address:	__________________________________________________
City, State, ZIP:		__________________________________________________
Phone Number(s):		__________________________________________________

NOTICE TO APPLICANT:

·Your Application is not substantially complete without proof of service on each Judgment Debtor against whom are are making a claim.

·Only use this method of service if both of the following conditions apply:

(1)The Judgment Debtor does not currently hold a license issued by the Department.

(2)After reasonable diligence, you cannot effect personal service on the Judgment Debtor.

·When you receive the Publisher’s Certificate, complete this form and attach the original certificate and process server’s Affidavit(s) referenced in No. 4 above. Mail completed form and all attachments to: