___________________________________ Petitioner's Name ___________________________________ Address (may be omitted for privacy) ___________________________________ City, State, Zip ___________________________________ Telephone (may be omitted for privacy)
IN THE * JUDICIAL DISTRICT COURT * COUNTY, STATE OF UTAH
_______________________________ Petitioner, vs. ________________________________ Respondent.
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PETITION FOR CIVIL WRONGFUL LIEN INJUNCTION
Case No. Judge
The Petitioner alleges against the Respondent and states as follows: 1. 2. wrongful lien. 3. The specific acts supporting this allegation are as follows (provide detail on how, The Petitioner is a victim of a wrongful lien. The Petitioner believes that the Respondent filed, made, recorded or uttered the
where and when the lien was filed, made, recorded or uttered and Respondent's involvement - use additional pages if necessary): Effective: May 2, 2005
______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 4. Attached is a copy of the alleged wrongful lien, affidavits of witnesses, letters from
the Respondent, transcripts of conversations, a police report, or other evidence which supports the allegation that this is a wrongful lien. Note: If any court order has been issued concerning the conduct described in paragraph 3, please attach a copy of the order. 5. [] Check One: A prior court order concerning the same conduct was issued in the following state, county and/or court___________________________ (Please attach a copy of the order.) [] 6. No prior court order concerning the same conduct was issued by any other court. The current address of the Respondent is:_________________________________ 2 Effective: May 2, 2005
The Petitioner requests an ex parte civil wrongful lien injunction which would include the following: 1. 2. 3. Enjoin the Respondent from making, uttering, recording, or filing any further liens. Order that the wrongful lien be nullified. Order additional relief as follows:
______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ DATED this______day of_______________, 200___.
________________________________ Petitioner
Subscribed and sworn to me on this_______day of ___________, 200___.
_________________________________ Court Clerk or Notary Public
Serve Respondent at: Street: __________________________ City/Town: __________________________ State, Zip: __________________________
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Effective: May 2, 2005