IN THE CIRCUIT COURT OF THE FIFTH JUDICIAL CIRCUIT IN AND FOR LAKE COUNTY, FLORIDA CASE NO: _________________________ ___________________________ Petitioner, vs. ____________________________ Respondent. ORDER This cause came before the Court on a ____________________________________________. ( title of the motion) After having reviewed the file and the Court being fully advised in the premises, it is thereupon ORDERED AS FOLLOWS: 1. 2. The Court has jurisdiction. The ____________________________________________________________ is (title of the motion) _________ GRANTED. _________ DENIED. and/or has been set for _________ HEARING. All parties involved in this matter are informed that they are scheduled to appear and/or testify at a hearing regarding this matter for the ______________________________________________________, (title of the motion) on _________________, 20_____, at ________ ___M., at which time the Court will consider whether the Court should issue a further order in this case. The hearing will be before the Honorable _____________________________, in Courtroom _______ or in Chambers, suite _______ on the ____ floor of the Lake County Judicial Center, 550 West Main Street, Tavares, Florida, 32778. If you are a person with a disability who needs any accommodation in order to participate in this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. Please contact the ADA Coordinator for the Courts Area at: The Office of the Trial Court Administrator, 550 West Main Street, Tavares, Florida 32778-7800; Telephone: 352-253-1604, within two (2) working days of your receipt of this order; if you are hearing impaired, call 1-800-955-8771; or voice impaired, call Florida Relay Service 711. DONE AND ORDERED at Tavares, Florida this ______ day of ________________, 20_____. ____________________________________ CIRCUIT JUDGE American LegalNet, Inc. www.FormsWorkFlow.com BLANK ORDER PAGE 2 CERTIFICATE OF SERVICE I HEREBY CERTIFY that a true copy of the foregoing has been furnished to the following: Dated: _____________________, 20_____. ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ JUDICIAL ASSISTANT/DEPUTY CLERK Blank Petition-Motion.wpd pg 2 American LegalNet, Inc. www.FormsWorkFlow.com