Fill and Sign the I Request the Court to Form

JDF 76 R5/17 MOTION TOCounty Court District Court_________________ County, ColoradoCourt Address:Plaintiff(s)/Petitioner(s):v.Defendant(s)/Respondent(s): COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E-mail: FAX Number: Atty. Reg. #:Case Number:Division Courtroom MOTION TO _____________________________ For the following reasons: (cite any applicable law) I request the Court to: Date: ___________________ _____________________________________________ Signature of Petitioner/Plaintiff or Respondent/Defendant ____________________________________________Address ____________________________________________ City, State and Zip Code____________________________________________Telephone Number (Home) (Work) CERTIFICATE OF SERVICE I certify that on (date) a true and accurate copy of the Motion to was served on the other party by: Hand Delivery,  E-filed, Faxed to this number ____________________, or by placing it in the United States mail, postage pre-paid, and addressed to the following (include name and address):To: ___________________________________ ___________________________________ ___________________________________ __________________________________________ Petitioner/Plaintiff or Respondent/Defendant