Small Claims Dismissal

DISMISSAL
CASE NO.
Court address
Plaintiff's name(s) and address(es)
Defendant's name(s) and address(es)
1. Plaintiff/Attorney for plaintiff files this notice of dismissal of this case all defendants.
following defendants, if applicable
2. I certify, under penalty of contempt, that:

a. This notice is the first dismissal filed by the plaintiff based upon or including the same claim against the defendant.

b. All costs of filing and service have been paid.

c. No answer or motion has been served upon the plaintiff by the defendant as of the date of this notice.

d. A copy of this notice has been provided to the appearing defendant/attorney bymail personal service.
Date

MonthDayYear
Date
Plaintiff/Attorney signature
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DISMISSAL