Form #2 STATE OF NORTH CAROLINA In the General Court of Justice District Court Division COUNTY OF HALIFAX Plaintiff: File No. AFFIDAVIT OF JUDICIAL ASSIGNMENT AND/OR NOTICE OF HEARING VERSUS Defendant: (A copy of this form must be filed with the Complaint in domestic cases. Obtain dates for court events prior to filing from the Family Court Office.) The undersigned certifies the following: 1. That I am , the Plaintiff Counsel for the Plaintiff Counsel for the Defendant in this action. 2. That I have completed an AOC Cover Sheet (Form #1) and have attached it to the Complaint the Defendant along with this Form #2, if required, or this is a subsequent filing. 3. That the attached pleading is: A newly filed Complaint. Other : An Answer/Counterclaim. A subsequent filing in which there exists or existed a pending action involving the same . parties or family and Judge 4. That District Court Judge assigned to this action is: Bar # **All locations in the Halifax County Courthouse. 5. Date Time Courtroom/ Location That a/an A.. Equitable Distribution Status Conference is set for: B. A Temporary Hearing on is set for: C. Hearing on is set for: D. Custody Mediation Orientation is set for: E. 6. is set for: That a copy of this document has been provided to the Family Court Office. Certificate of Service I hereby certify that a copy of this Notice of Hearing has been served in the following manner: By depositing a copy in the United States mail in a properly addressed, posted envelope to: By sheriff’s service By FAX Date By placing in plaintiff’s attorney’s courthouse box By placing in defendant’s attorney’s courthouse box Signature of Moving Party Halifax County Family Court Domestic Rules, Rev. 7/31/08 American LegalNet, Inc. www.FormsWorkflow.com