Free Dc1.vp - Maryland

DISTRICT COURT OF MARYLAND FOR ...................................................................................................
City/County

Located at ..............................................................................................Case No..........................................................
Court Address

STATE OF MARYLAND OR ........................................................................................... ........................................................................................... ...........................................................................................
Plaintiff

Trial Date...........................................................................

........................................................................................... vs. ........................................................................................... ...........................................................................................
Defendant

REQUEST
It is requested that ...................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... ....................................................................................................................................................................................................

...........................................................................................
Date

...........................................................................................
Signature

CERTIFICATE OF SERVICE
I certify that I served a copy of this Request upon the following party or parties by mailing first class mail, postage prepaid, on ........................................................................ to:
Date

...........................................................................................
Name

...........................................................................................
Address

...........................................................................................
Name

...........................................................................................
Address

...........................................................................................
Date

...........................................................................................
Signature of Party Serving

ORDER
.................................................................................................................................................................................................... .................................................................................................................................................................................................... ....................................................................................................................................................................................................

...........................................................................................
Date

...........................................................................................
Judge

DC 1 (Rev. 6/2002)

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