1105GE J Approved April 16, 2018 / May 1, 2019 Stipulation to Motion Page 1 of 3 [ ] This is a private record Name Address City, State, Zip Phone Check your email. You will receive information and documents at this email address . Email I am [ ] Plaintiff/Petitioner [ ] Defendant/Respondent [ ] Plaintiff/Petitioner [ ] Defendant/Respondent (Utah Bar #: ) In the [ ] District [ ] Justice Court of Utah Judicial District County Court Address Plaintiff/ Petitioner v. Defendant/ Respondent Stipulation to Motion to (name of motion ) Case Number Judge Commissioner (domes tic cases) 1. I have received and read the Motion to (name of motion) and its supporting documents. I fully understand the claims and the requested order. 2. I understand that I have the right to challenge the claims and to have a judge decide the issues. 3. I voluntarily stipulate (agree) that the court may grant the order requested in the motion at any time and without further notice. American LegalNet, Inc. www.FormsWorkFlow.com 1105GE J Approved April 16, 2018 / May 1, 2019 Stipulation to Motion Page 2 of 3 I declare under criminal penalty under the law of Utah that everything stated in this document is true . Signed at (city, and state or country). Sign atu Date Printed Name American LegalNet, Inc. www.FormsWorkFlow.com 1105GE J Approved April 16, 2018 / May 1, 2019 Stipulation to Motion Page 3 of 3 Certificate of Service I certify that I filed with the court and am serving a copy of this S t i pulation to Motion on the following people. Ser vice Method Service Address Service Date [ ] Mail [ ] Hand Delivery [ ] E - filed [ ] Email [ ] Left at business (With person in charge or in receptacle for deliveries.) [ ] Left at home (With person of suitable age and discretion residing ther e.) [ ] Mail [ ] Hand Delivery [ ] E - filed [ ] Email [ ] Left at business (With person in charge or in receptacle for deliveries.) [ ] Left at home (With person of suitable age and discretion residing there.) [ ] Mail [ ] Hand Delivery [ ] E - filed [ ] Email [ ] Left at business (With person in charge or in receptacle for deliveries.) [ ] Left at home (With person of suitable age and discretion residing there.) Sign atu Date Printed Name American LegalNet, Inc. www.FormsWorkFlow.com