Fill and Sign the Master Forms List Page 2 Nebraska Judicial Branch Nebraskagov

Nebraska State Court Form CC 3:27 NEW 06/18 MOTION TO _______________________ ____________________________ IN THE _________________________________________ COURT OF __________________COUNTY, NEBRASKA (County or District) _______________________________________ (name of person listed as plaintiff in original action) Plaintiff Case No. ______________________ VS _______________________________________ Defendant (name of person listed as defendant in original action) (case number assigned by clerk of court) MOTION TO _______________________ ____________________________ I, ____________________________________________________________, the (your first, middle, last name) plaintiff defendant in the above titled case request: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Date Signature Your Name Your Full Street Address/P.O. Box City/State/ZIP Code Phone E-mail Address CERTIFICATE OF SERVICE I hereby certify that on _____________________________, a true copy of this Motion (date) was sent by first-class mail, postage prepaid to the following party(ies) at: Name: Address: _________________________ _____________________________________________________ _________________________ _____________________________________________________ _________________________ _____________________________________________________ _________________________ _____________________________________________________ ___________________________________________________ (Your name) Page 1 of 1 Motion CC 3:27 New 06/18