Transcript
Name of Petitioner Address of Petitioner City, State, Zip Phone
IN THE
JUDICIAL COURT COUNTY, STATE OF UTAH
Petitioner
vs
Respondent
) ) ) ) ) ) ) ) )
ACCEPTANCE OF SERVICE, WAIVER AND CONSENT CASE NO. Judge
COMES Respondent, ____________________________, having received a copy of Petitioner's Complaint for Dissolution of Marriage and Summons in the above-entitled matter, and having read the allegations contained therein, and being aware of his/her right to seek independent legal advice, herewith enters his/her appearance, consents to the personal jurisdiction of this Court, accepts service of said Complaint, waives his/her right to file an Answer or otherwise defend in this matter, agrees that a default may be entered, and agrees that Petitioner maybe granted a Decree of Dissolution of Marriage pursuant to the terms of Petitioner's Complaint at any time and without further notice to Respondent. Respondent also consents to the waiver of any applicable waiting period. Respondent has been advised to obtain independent legal advice, but has declined to do so. This document shall be construed, when duly acknowledged, as the proof of service by written admission or waiver of service permitted by Rule 4(h)(5), Utah Rules of Civil Procedure.
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DATED this ________ day of ____________, 20___.
_________________________________ Name - Signature Respondent STATE OF UTAH COUNTY OF ___________________ On this ________ day of ____________, 20___, personally appeared before me ____________________, who being first duly sworn, proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to on this instrument, and acknowledged that he voluntarily executed the same. _________________________________ NOTARY PUBLIC Residing At: __________________________ My Commission Expires: ________________
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