PLAINTIFF(S)' / DEFENDANT(S)' NON-HEARING MOTION TO / FOR ; DECLARATION; NOTICE OF MOTION; CERTIFICATE OF SERVICE IN THE DISTRICT COURT OF THE THIRD CIRCUIT DIVISION STATE OF HAWAI`I Plaintiff(s) Form# 3DC39 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) PLAINTIFF(S)' / DEFENDANT(S)' NON-HEARING MOTION TO / FOR _________________________________________________________________________________________________ Filing Party requests that this Motion be granted for the reasons stated in the Declaration below and is made pursuant to: Rules of the District Court of the State of Hawai`i, Rule ____________________________; District Court Rules of Civil Procedure, Rule ____________________________; Rules of the Small Claims Division of the District Courts, Rule ____________________________; Hawai`i Revised Statues § ___________________. DECLARATION 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): I DECLARE UNDER PENALTY OF LAWS WHAT I HAVE STATED IS TRUE AND CORRECT. Signature of Declarant: Date: Print/Type Name: NOTICE OF MOTION TO: Any response to this Motion must be in writing on page 2 of Form# 3DC39 and filed with the Court no later than 10 days from the date shown on the Certificate of Service on the page 2 of Form# 3DC39 when the Motion is hand-delivered or 12 days when the Motion is mailed. Your written response can be delivered or mailed to the Court at: 777 Kilauea Avenue, Civil Division, Hilo, HI 96720 79-1020 Haukapila Street, Kealakekua, HI 96750 67-5187 Kamamalu Street, Kamuela, HI 96743. IF NO RESPONSE IS RECEIVED BY THE COURT BY THE DATES SPECIFIED IN THIS NOTICE, THIS MOTION MAY BE GRANTED. Reprographics ( ) Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com MOTHRNG 3D-P-289 CERTIFICATE OF SERVICE I certify that on (date): _________________________________ I served a copy of this Motion on all party(ies) or their attorney(s) by Hand delivery or Mail, addressed as follows: Signature of Filing Party(ies)/Filing Party(ies)' Attorney Date: Print/Type Name RESPONSE TO MOTION/CERTIFICATE OF SERVICE 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 DECLARE UNDER PENALTY OF LAW THAT WHAT I HAVE STATED IS TRUE AND CORRECT. CERTIFICATE OF SERVICE I certify that on (date): _________________________________ I served a copy of this Response to the Motion on all party(ies) or their attorney(s) by Hand delivery or Mail, addressed as follows: Signature of Responding Party(ies)/Responding Party(ies)' Attorney Date: Print/Type Name COURT ORDER Reserved for Court Use This Motion GRANTED DENIED PARTIALLY GRANTED as follows: Date: Judge 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 ADA Coordinator at PHONE NO. (808) 961-7 , FAX (808) 961-7 , or at least (10) working days before your preceeding, hearing, or appointment date. Reprographics ( ) Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com MOTHRNG 3D-P-289