PETITIONER'S / DEFENDANT'S EX PARTE MOTION TO Form #2DC15 IN THE DISTRICT COURT OF THE SECOND CIRCUIT DIVISION STATE OF HAWAI`I Plaintiff(s) Reserved for Court Use Civil No. Defendant(s) Filing Party/Attorney Name, Attorney Number, Firm Name (if applicable), Address, Telephone and Fax Numbers PETITIONER'S / DEFENDANT'S EX PARTE MOTION TO Filing Party requests that this motion be granted for the reasons stated in the Declaration below and made pursuant to: Rules of the District Courts of the State of Hawai`i, Rule District Courts Rule of Civil Procedure, Rule Rules of the Small Claims Division of the District Court, Rule Hawai`i Revised Statutes § DECLARATION ; ; ; . I DECLARE UNDER PENALTY OF PERJURY THAT THE FOLLOWING IS TRUE AND CORRECT. 1. 2. I am the Moving Party or associated with the Moving Party as The following are facts why the Motion should be granted (as additional pages, if necessary): ; Signature of Declarant: Date: Print/Type Name(s): In accordance with the Americans with Disabilities Act , and other applicable State and Federal laws, if you require an accommodation for your disability when working with a court program, service, or activity please contact the District Court Administration Office at PHONE NO. 244-2800, FAX 244-2849, OR TTY 244-2889 at least (10) working days in advance of your hearing, or appointment date. Reprographics (12/09) RevaComm 508 Certified Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com 2D-P-228 Reserved for Court Use COURT ORDER This motion is: GRANTED DENIED PARTIALLY GRANTED as follows: Date: Judge: 2D-P-228 Reprographics (12/09) RevaComm 508 Certified Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com