Form Rule 102(a). FASTAR Certificate

Name : ______________________________ Address : __________________________ _____________________________________ Telephone : ____________________________ Representing : ___________________________ ARIZONA SUPERIOR COURT, PIMA COUNTY : CASE NO : __________ Plaintiff, : : v. : RULE 102(a) FASTAR CERTIFICATE : : Defendant. : : : The undersigned certifies that he or she knows the eligibility criteria set by FASTAR Rule 101(b) and certifies that this case: (NOTE--YOU MUST CHECK ONE OF THE BOXES BELOW OR THE CLERK WILL NOT ACCEPT THIS FORM.) ​ DOES meet the eligibility criteria established by Rule 101(b); or ​ DOES NOT meet the eligibility criteria established by Rule 101(b). Dated: ______________________________ SIGNATURE