Free ______________________County, Colorado District Court - Colorado

District Court Juvenile Court ________________ County, Colorado Court Address: In re: The Marriage of: Parental Responsibilities concerning: ______________________________________________________ Petitioner: and Co-Petitioner/Respondent: Attorney or Party Without Attorney (Name and Address):

COURT USE ONLY Case Number:

Phone Number: FAX Number:

E-mail: Atty. Reg. #:

Division

Courtroom

STIPULATED MOTION FOR ___________________________________________________

The parties stipulate and agree to the following:

JDF 1311

5/09

STIPULATED MOTION

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If applicable, the parties request that the hearing set on The parties request that this Stipulation be entered as an Order of this Court.

(date) be vacated.

VERIFICATION AND ACKNOWLEDGMENT
I swear/affirm under oath that I have read the foregoing Stipulated Motion and that the statements set forth therein are true and correct to the best of my knowledge.

_______________________________________
Petitioner's Signature Date

________________________________________
Co-Petitioner's/Respondent's Signature Date

______________________________________
Petitioner's Attorney Signature, if any

__________________________________________
Co-Petitioner's/Respondent's Attorney Signature, if any

Subscribed and affirmed, or sworn to before me in the County of ________________________, State of ____________________, this _______ day of ___________________, 20 _____. My Commission Expires: _________________ ______________________________________
Notary Public/Clerk

Subscribed and affirmed, or sworn to before me in the County of _______________________, State of ___________________, this _______ day of ___________________, 20 _____. My Commission Expires: __________________ ______________________________________
Notary Public/Clerk

JDF 1311

5/09

STIPULATED MOTION

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