Free Notice of Submission of Case for Final Adjudication - Kentucky

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AOC - 280 Doc. Code: NS Rev. 7-02 Ver. 1.01 Page 1 of 1 Commonwealth of Kentucky Court of Justice SCR 1.050(8)

Case No. Court County NOTICE OF SUBMISSION OF CASE FOR FINAL ADJUDICATION Division No. __________________ _____________________

PLAINTIFF VS. DEFENDANT Pursuant to SCR 1.050(8), this is to notify the Administrative Office of the Courts that the above-styled case was submitted to Judge ____________________________________ on __________________, _____. Explain nature of case and type of submission: ______________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________. I certify a true copy of this Notice of Submission was mailed on __________________, 2_____, to the following: 1. Judge's Name: __________________________________________________________________________________ Address: ______________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ 2. Petitioner/Attorney of Record: ______________________________________________________________________ Address: ______________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ 3. Respondent/Attorney of Record: ____________________________________________________________________ Address: ______________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ 4. Other Party/Attorney of Record: ____________________________________________________________________ Address: ______________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ If more space is needed to indicate copies sent, attach list. If completing this form online via the Internet, an original and three (3) copies will print. Distribute the four (4) documents as specified at the top of each form. Signature: ____________________________________________________ Phone No. (____)_________________ Name (type/print): ______________________________________________________________________________ Address: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________

Clerk to complete if applicable: Notice for Submission [ ] Withdrawn; [ ] Overruled; [ ] Issue Decided. Date: _________________________, 2______ By: _______________________________________________

White copy: Administrative Office of the Courts, Research & Statistics Section, 100 Millcreek Park, Frankfort, KY 40601 Yellow copy: Clerk Pink copy: Judge - (Judge may use back of form for explanation) Gold copy: Attorney

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Circuit Clerk's Copy

AOC - 280 Doc. Code: NS Rev. 7-02 Ver. 1.01 Page 1 of 1 Commonwealth of Kentucky Court of Justice SCR 1.050(8)

Case No. Court County NOTICE OF SUBMISSION OF CASE FOR FINAL ADJUDICATION Division No. __________________ _____________________

PLAINTIFF VS. DEFENDANT Pursuant to SCR 1.050(8), this is to notify the Administrative Office of the Courts that the above-styled case was submitted to Judge ____________________________________ on __________________, _____. Explain nature of case and type of submission: ______________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________. I certify a true copy of this Notice of Submission was mailed on __________________, 2_____, to the following: 1. Judge's Name: __________________________________________________________________________________ Address: ______________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ 2. Petitioner/Attorney of Record: ______________________________________________________________________ Address: ______________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ 3. Respondent/Attorney of Record: ____________________________________________________________________ Address: ______________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ 4. Other Party/Attorney of Record: ____________________________________________________________________ Address: ______________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ If more space is needed to indicate copies sent, attach list. If completing this form online via the Internet, an original and three (3) copies will print. Distribute the four (4) documents as specified at the top of each form. Signature: ____________________________________________________ Phone No. (____)_________________ Name (type/print): ______________________________________________________________________________ Address: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________

Clerk to complete if applicable: Notice for Submission [ ] Withdrawn; [ ] Overruled; [ ] Issue Decided. Date: _________________________, 2______ By: _______________________________________________

White copy: Administrative Office of the Courts, Research & Statistics Section, 100 Millcreek Park, Frankfort, KY 40601 Yellow copy: Clerk Pink copy: Judge - (Judge may use back of form for explanation) Gold copy: Attorney

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Judge's Copy

AOC - 280 Doc. Code: NS Rev. 7-02 Ver. 1.01 Page 1 of 1 Commonwealth of Kentucky Court of Justice SCR 1.050(8)

Case No. Court County NOTICE OF SUBMISSION OF CASE FOR FINAL ADJUDICATION Division No. __________________ _____________________

PLAINTIFF VS. DEFENDANT Pursuant to SCR 1.050(8), this is to notify the Administrative Office of the Courts that the above-styled case was submitted to Judge ____________________________________ on __________________, _____. Explain nature of case and type of submission: ______________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________. I certify a true copy of this Notice of Submission was mailed on __________________, 2_____, to the following: 1. Judge's Name: __________________________________________________________________________________ Address: ______________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ 2. Petitioner/Attorney of Record: ______________________________________________________________________ Address: ______________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ 3. Respondent/Attorney of Record: ____________________________________________________________________ Address: ______________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ 4. Other Party/Attorney of Record: ____________________________________________________________________ Address: ______________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ If more space is needed to indicate copies sent, attach list. If completing this form online via the Internet, an original and three (3) copies will print. Distribute the four (4) documents as specified at the top of each form. Signature: ____________________________________________________ Phone No. (____)_________________ Name (type/print): ______________________________________________________________________________ Address: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________

Clerk to complete if applicable: Notice for Submission [ ] Withdrawn; [ ] Overruled; [ ] Issue Decided. Date: _________________________, 2______ By: _______________________________________________

White copy: Administrative Office of the Courts, Research & Statistics Section, 100 Millcreek Park, Frankfort, KY 40601 Yellow copy: Clerk Pink copy: Judge - (Judge may use back of form for explanation) Gold copy: Attorney

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Attorney's Copy

AOC - 280 Doc. Code: NS Rev. 7-02 Ver. 1.01 Page 1 of 1 Commonwealth of Kentucky Court of Justice SCR 1.050(8)

Case No. Court County NOTICE OF SUBMISSION OF CASE FOR FINAL ADJUDICATION Division No. __________________ _____________________

PLAINTIFF VS. DEFENDANT Pursuant to SCR 1.050(8), this is to notify the Administrative Office of the Courts that the above-styled case was submitted to Judge ____________________________________ on __________________, _____. Explain nature of case and type of submission: ______________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________. I certify a true copy of this Notice of Submission was mailed on __________________, 2_____, to the following: 1. Judge's Name: __________________________________________________________________________________ Address: ______________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ 2. Petitioner/Attorney of Record: ______________________________________________________________________ Address: ______________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ 3. Respondent/Attorney of Record: ____________________________________________________________________ Address: ______________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ 4. Other Party/Attorney of Record: ____________________________________________________________________ Address: ______________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ If more space is needed to indicate copies sent, attach list. If completing this form online via the Internet, an original and three (3) copies will print. Distribute the four (4) documents as specified at the top of each form. Signature: ____________________________________________________ Phone No. (____)_________________ Name (type/print): ______________________________________________________________________________ Address: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________

Clerk to complete if applicable: Notice for Submission [ ] Withdrawn; [ ] Overruled; [ ] Issue Decided. Date: _________________________, 2______ By: _______________________________________________

White copy: Administrative Office of the Courts, Research & Statistics Section, 100 Millcreek Park, Frankfort, KY 40601 Yellow copy: Clerk Pink copy: Judge - (Judge may use back of form for explanation) Gold copy: Attorney

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