IN THE SUPERIOR COURT OF COBB COUNTY STATE OF GEORGIA Plaintiff: vs. Defendant: ____________________ ____________________ ) ) ) ) ) Civil Action File No. _______________ Judge's Name: ___________________ VOLUNTARY DISMISSAL COMES NOW the Plaintiff in the above-styled action and hereby voluntarily dismisses his/her __________________________filed in the above styled action pursuant to §9-11-41 of the Civil Practice Act without prejudice. This ______day of ______________, 20____. ______________________________________ [Sign your name here in front of a Notary] __________________________________________ [Print your name here] ______________________________________ [Print your address here] __________________________________________ __________________________________________ [Telephone] Sworn to and subscribed before me, this ________day of _______________, 20____. ________________________________________ NOTARY PUBLIC My Commission Expires: [Notary Seal] American LegalNet, Inc. www.FormsWorkflow.com