_________________________________ 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
________________________________
) ) REQUEST FOR HEARING ) Petitioner, ) ) vs. ) ) _________________________________ ) Case No. ) Respondent. ) Judge: ____________________________________________________________________________________ Respondent hereby requests a hearing to contest the ex parte civil wrongful lien injunction issued
in this case, which was served on_______________________,200___. DATED this_______day of______________, 200___.
____________________________ Respondent
Effective: May 2, 2005