Ex Parte Civil Wrongful Lien Injunction Effective: May 2, 2005 / Revised May 1, 2019 Page 1 of 3 Name Address City, State, Zip Phone Check your email. You will receive information and documents at this email address. Email I am [ ] Plaintiff/Petitioner [ ] Plaintiff/Petitioner (Utah Bar #: ) In the District Court of Utah Judicial District County Court Address Petitioner v. Respondent Ex Parte Civil Wrongful Lien Injunction Case Number Judge Attention: This is an official court order. If you disobey this order, the court may find you in contempt. You may also be arrested and prosecuted for the crime of making a wrongful lien and any other crime you may have committed in disobeying this order. This injunction will be presumed valid unless and until superseded by a subsequent order. Injunction has determined that there is reason to believe that a wrongful lien has been made, uttered, recorded or filed. Pursuant to Utah Code Section 38-9a-202, the court orders as follows: American LegalNet, Inc. www.FormsWorkFlow.com Ex Parte Civil Wrongful Lien Injunction Effective: May 2, 2005 / Revised May 1, 2019 Page 2 of 3 (1) The Respondent is enjoined from making, uttering, recording, or filing any further liens without specific permission from the court. (2) The lien referenced in the Petition, a copy of which is attached to this Order, is nullified. (3) Other: Notice to the Respondent: (1) You may request, in writing, a hearing to contest this order. (2) You must file your request at the following courthouse: (3) The hearing should be requested within 10 days from the date that the Order is served on you. (4) If you fail to request a hearing within 10 days, this Order will automatically become a civil wrongful lien injunction which will not expire until 3 years after it is served. (5) You may request a hearing after the 10 day period, but you will have the burden of challenging the injunction. Sign atu Date Judge American LegalNet, Inc. www.FormsWorkFlow.com Ex Parte Civil Wrongful Lien Injunction Effective: May 2, 2005 / Revised May 1, 2019 Page 3 of 3 Serve Respondent at: Street: City/Town: State, Zip: In compliance with the Americans with Disabilities Act, individuals needing special accommodations (including auxiliary communicative aids and services) during this proceeding should call the Clerk of Court immediately upon receipt of this notice. American LegalNet, Inc. www.FormsWorkFlow.com