N ebraska State Court Form DC 6:4(5) Rev. /18 NOTICE OF HEARING AND CERTIFICATE OF SERVICE IN THE DISTRICT COURT OF COUNTY, NEBRASKA (county where Complaint filed) , Plaintiff, vs. , Defendant. Case No. NOTICE OF HEARING AND CERTIFICATE OF SERVICE To: (The other party in this case) (Full Street Address/P.O. Box) (City/State/ZIP Code) You are hereby notified that the final hearing on the plaintiff222s defendant222s complaint will be heard before the Honorable, Judge of the (name of judge assigned to your case) District Court of County, Courtroom No. on the Floor (county where Complaint filed) (courtroom number) (floor number) of the County Courthouse or Justice Center, , (county where Complaint filed) (street address where court is located) , Nebraska, on , at .m., (city where court is located) (date) (time) (a. or p.) or as soon thereafter as the same may be heard. Date Signature Full Name Full Street Address/P.O. Box City/State/ZIP Code Phone E-mail Address Page 1 of 2 Notice of Hearing and Certificate of Service DC 6:4(5) Rev. /18 American LegalNet, Inc. www.FormsWorkFlow.com Certificate of Service I verify that on , I served a true and accurate copy of (date) this notice upon the appropriate parties to this proceeding by depositing the same in the United States mail, postage prepaid, addressed to: Name: Address: Date Signature Full Name Full Street Address/P.O. Box City/State/ZIP Code Phone E-mail Address Page 2 of 2 Notice of Hearing and Certificate of Service DC 6:4(5) Rev /18 American LegalNet, Inc. www.FormsWorkFlow.com