Ex PartE Motion for DiscontinuancE of orDEr for ExaMination anD/or rEcall of BEnch Warrant; orDEr; cErtificatE of sErvicE
in thE District court of thE fifth circuit statE of haWai`i
Plaintiff(s)
Form #5DC19
Court Date: Civil No.
Reserved for Court Use
Defendant(s)
Filing Party(ies)/Filing Party(ies)' Attorney (Name, Attorney Number, Firm Name (if applicable), Address, Telephone and Facsimile Numbers)
List name of Person to be examined or Person having failed to appear:
Filing date of Motion for Order for Examination:
Ex PArtE Motion for DiscontinuAncE of orDEr for ExAMinAtion AnD/or rEcAll of BEnch WArrAnt Judgment Creditor(s) requests to discontinue the above dated Order for Examination or Order for Examination on Judgment Debtor(s)/Person Having Knowledge and/or to recall Bench Warrant ordered on ___________________________________________ and issued on _____________________________ . cErtificAtE of sErvicE I certify that a copy of this Motion was served at the last known address(es) of Judgment Debtor(s), Person Having Knowledge of the Affairs of Judgment Debtor(s), Person Having Failed to Appear, or his/her/its/their Attorney listed below on ______________________________________________ by Hand-delivery or Mail, Postage Prepaid, at the following address(es).
Signature of Filing Party(ies)/Filing Party(ies)' Attorney: Date: Print/Type Name: Approved and So Ordered: Date: Judge of the above-entitled Court: In accordance with the Americans with Disabilities Act if you require an accommodation for your disability, please contact the District Court Administration Office at PHONE NO. 482-2347, FAX 482-2509, OR TTY 482-2533 at least (10) working days in advance of your hearing or appointment date. I certify that this is a full, true and correct copy of the original on file in this office. ______________________________________________________ Clerk, District Court of the Above Circuit, State of Hawai`i
RepRogRaphics (05/08) Discoe 5D-p-181
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