Reserved for Court Use Civil No. Defendant(s) Filing Party/Attorney Name, Attorney Number (if applicable), Address, Telephone and Fax Numbers
Next Court Date and Time (if any): _________________________________________________________________________________ G NoneG Return G Pre-Trial G Trial G Answer G Disposition/Other (Specify): ____________________________________________ STIPULATION FOR DISMISSAL Plaintiff and Defendant agree to the Entry of Dismissal in this case (select one) G WITH or G WITHOUT prejudice pursuant to District Court Rules of Civil Procedure, Rule 41(a)(1)(ii). This Stipulation for Dismissal is signed by all parties who have appeared in this action. (Select one) G Partial Dismissal as to Defendant ________________________________________________________________________________ _______________________________________________________________________________________________________________. (Certificate of Service required as to other Defendants). OR G DISMISSAL OF ALL CLAIMS. Signature of Plaintiff/Attorney:
Date:
Print/Type Name: Signature of Defendant/Attorney:
Date:
Print/Type Name:
In accordance with state and federal disability laws, if you require an accommodation for a disability when working with a court program, service, or activity, please contact the District Court Administration Office at PHONE NO. 244-2800, FAX 244-2849 or TTY 244-2865 at least ten (10) working days before your proceeding, hearing, or appointment date.
For all Civil related matters, please call 244-2706 or visit the Service Center at: 2145 Main Street, Rm 141A, Wailuku, HI 96793.
(Rev. 1 D ecember 2006)
2D-P-235
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Stipulation for D ismissal Form# D C21
Reprographics (12/06)
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