Motion to Set ASide defAult JudgMent or diSMiSSAl; declArAtion; notice of Motion; certificAtion of Service in the diStrict court of the third circuit ______________________________diviSion StAte of hAwAi`i Form #3DC42 Plaintiff(s) Reserved for Court Use Civil No. Defendant(s) Filing Party(ies)/Filing Party(ies)' Attorney (Name, Attorney Number, Firm Name (if applicable), Address, Telephone and Facsimile Numbers) Date of Default, Judgment or Dismissal Entered: Motion to Set ASide defAult JudgMent or diSMiSSAl Filing Party(ies) request that this Motion be set for hearing on a date and time certain. This Motion is based on the Declaration below and is made pursuant to the District Court Rules of Civil Procudure, Rule _____________________ . 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. 2. I am the Movant or associated with Movant as ____________________________________________________________ ; The following are facts why the Motion should be granted (attach continuation page, if necessary); Signature of Declarant: Date: RG-AC-508 (02/17) Print/Type Name(s): Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com MoTseT 3D-p-292 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 ______ _______ or as soon thereafter as parties may be heard. CouRt AddReSSeS notiCe of Motion north & South Hilo division 777 Kilauea Avenue, 2nd Floor, Hilo, Hawai`i 96720-4212 Puna division 777 Kilauea Avenue, 2nd Floor, Hilo, Hawai`i 96720-4212 north & South Kona division 79-1020 Haukapila Street, Kealakekua, Hawai`i 96750 - division -- To be heard at North & South Kona Division Ka`u Kona: 79-1020 Haukapila Street, Kealakekua, Hawai`i 96750 South Kohala division 67-5187 Kamamalu Street, Kamuela, Hawai`i 96743 - ma kua division -- To be heard at South Kohala Division Ha 67-5187 Kamamalu Street, Kamuela, Hawai`i 96743 north Kohala division -- To be heard at South Kohala Division 67-5187 Kamamalu Street, Kamuela, Hawai`i 96743 Mailing Address for the court: 777 Kilauea Avenue, Hilo, Hawai`i 96720-4212 79-1020 Haukapila Street, Kealakekua, Hawai`i 96750 67-5187 Kamamalu Street, Kamuela, Hawai`i 96743 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 hand-delivery or Mail, Postage Prepaid, at the following address(es): CeRtifiCAte of SeRViCe Signature of Filing Party(ies)/Filing Party(ies)' Attorney: Date: Print/Type Name(s): ReSPonSe to Motion/CeRtifiCAte of SeRViCe I DO NOT OBJECT to this Motion. I DISAGREE with this Motion for the following reasons: 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 lAW of tHe StAte of HAWAi`i tHAt tHe ABoVe iS tRue And CoRReCt. 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 hand-delivery or Mail, Postage Prepaid, at the following address(es): CeRtifiCAte of SeRViCe Signature of Responding Party(ies)/Responding Party(ies)' Attorney Date: Judge of the above-entitled Court to 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 Disability Accommodations Coordinator at PHONE NO. 961-7629, FAX 961-7577, or Email: adarequest@courts.hawaii.gov at least (10) working days in advance of your hearing, or appointment date. Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com MoTseT 3D-p-292