MOTION TO DISMISS; DECLARATION; NOTICE OF MOTION; CERTIFICATE OF SERVICE TWO-SIDED FORM Form #3DC36 IN THE DISTRICT COURT OF THE THIRD CIRCUIT ______________________________ DIVISION STATE OF HAWAI‘I Plaintiff(s) Reserved for Court Use Civil No. Filing Party(ies)/Filing Party(ies)' Attorney (Name, Attorney Number, Firm Name (if applicable), Address, Telephone and Facsimile Numbers) Defendant(s) Court Date: MOTION TO DISMISS Filing Party(ies) requests that this Motion be set for hearing on a date and time certain. This Motion is based on the District Court Rules of Civil Procedure, Rule , and the Declaration below. DECLARATION I have read this Motion, know the contents and verify that the statements are true to my personal knowledge and belief. I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF HAWAI‘I THAT THE FOLLOWING IS TRUE AND CORRECT: 1. I am the G Movant or G associated with Movant as ; 2. The following are facts why the Motion should be granted (attach continuation page, if necessary): Signature of Declarant: Date: MOTDISM.2XX (Amended 4/18/97)v Print/Type Name: SEE AND USE REVERSE SIDE TO RESPOND TO MOTION 3D-P-286 American LegalNet, Inc. www.FormsWorkflow.com NOTICE OF MOTION TO: : Please take notice that this Motion will be heard by the District Judge of this Court, in his/her Courtroom, at the address checked below on , , 20 at M., or as soon thereafter as parties may be heard. COURT ADDRESSES G North & South Hilo Division 75 Aupuni Street, Courtroom No. 3, Hilo, Hawai‘i 96720 G Puna Division 16-200 Pili Mua Street, Kea‘au, Hawai#i 96749 G North & South Kona Division 79-1020 Haukapila Street, Kealakekua, Hawai#i 96750 G Ka‘u Division 95-5669 Mamalahoa Highway, Na‘alehu, Hawai#i 96772 G South Kohala Division 67-5187 Kamamalu Street, Kamuela, Hawai#i 96743 G Hamakua Division 45-3362 Mamane Street, Honoka‘a, Hawai#i 96727 G North Kohala Division 54-3900 Government Main Road, Kapa‘au, Hawai#i 96755 Mailing address for the above Courts: G 75 Aupuni Street, Civil Division, Room 205, Hilo, Hawai#i 96720 G 79-1020 Haukapila # Street, Kealakekua, Hawai#i 96750 G 67-5175 Kamamalu Street, Kamuela, Hawai#i 96743. # # CERTIFICATE OF SERVICE I certify that a copy of this Motion was served at the last known address(es) of the Opposing Party(ies) or Opposing Party(ies)' attorney on by G Hand-delivery or G Mail, Postage Prepaid, at the following address(es): Signature of Filing Party(ies)/Filing Party(ies)' Attorney: Date: Print/Type Name: RESPONSE TO MOTION/CERTIFICATE OF SERVICE G G I DO NOT OBJECT to this Motion. I DISAGREE with this Motion for the following reasons: (Attach continuation page, if necessary). Reserved for Court Use I have read this Response, know the contents and verify that the statements are true to my personal knowledge and belief. I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF HAWAI#I THAT THE ABOVE IS TRUE AND # CORRECT. CERTIFICATE OF SERVICE I certify that a copy of this Response was served at the last known address(es) of the Opposing Party(ies) or Opposing Party(ies)' attorney on by G Hand-delivery or G Mail, Postage Prepaid, at the following address(es): Signature of Responding Party(ies)/Responding Party(ies)' Attorney: Date: In accordance with the Americans with Disabilities Act if you require an accommodation or assistance, please contact the ADA Coordinator at PHONE NO. 934-5788, FAX 935-1959, or TTY 961-7525 at least ten (10) working days in advance of your hearing or appointment date. 3D-P-286 American LegalNet, Inc. www.FormsWorkflow.com