Fill and Sign the Attach Additional Sheets of Paper If Needed Form

Motion Form July 2014 Page 1 of 2 STATE OF WYOMING ) IN THE DISTRICT COURT ) ss COUNTY OF ________________ ) _______________ JUDICIAL DISTRICT Plaintiff/Petitioner: , ) Civil Action Case No. ___________ (Print name of person filing) ) ) vs. ) ) Defendant/Respondent:______________________. ) (Print name of other party) MOTION FOR (describe what you are requesting from the Court ) I am the Plai ntiff /Petitioner Defendant /Respondent in this action. I am requesting that: (Describe what you would like the Court to do for you) – TYPE OR PRINT CLEARLY - . Attach additional sheets of paper if needed. My reasons are: . Attach additional sheets of paper if needed. DATED this ______ day of _____________________, 20____. Signature Printed Name: Address: Phone Number: Motion Form July 2014 Page 2 of 2 C E R T I F I C A T E O F S E R V I C E I certify that on (date) the original of this document w as filed with the Cl erk of District Court; and, a true and accurate copy of th is document was served on the other party by Hand Delivery OR Faxed to this number OR by placing it in the United States mail, postage p re-paid, and addressed to the following: (Print name and address of other party) TO: ______________________________________ ______________________________________ ______________________________________ You r signature Print name