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Notice of Voluntary Dismissal
Plaintiff/Petitioner name
Case Number
Defendant/Respondent/Petitioner name
Magistrate
Name of person dismissing the action(s)
Dismiss: Complaint for Divorce
Dismiss: Counterclaim for Divorce
Dismiss: Complaint for Parentage, Allocation of Parental Rights and Responsibilities (Custody), and Parenting Time (Companionship and Visitation)
Dismiss: Complaint for Custody
Dismiss: Motion for Change of Parenting Time (Companionship and Visitation)
Dismiss: Motion for Change of Parental Rights and Responsibilities (Custody)
Dismiss: Motion for Contempt
Motion for Contempt filed date
Dismiss: Motion for Change of Child Support, Medical Support, Tax Exemption, or Other Child-Related Expenses
Dismiss: Motion for (other motion)
Motion for: describe the motion
Motion for: date filed
Dismiss: Petition for Domestic Violence Civil Protection Order
Dismiss: Petition for Dating Violence Civil Protection Order
Dismiss: Motion to Modify or Terminate Domestic Violence Civil Protection Order or Consent Agreement
Dismiss: Other action
Other action: describe
Printed Name
Street Address
City, State, and Zip Code
Phone Number
E-mail
Service date
Served to: attorney or party name, line 1
Served to: attorney or party name, line 2
Served at: address, email, or fax, line 1
Served at: address, email, or fax, line 2
Served by: As instructed in the Request for Service filed with the Clerk of Courts
Served by: Regular U.S. Mail
Served by: Email
Served by: Fax
Served by: Hand Delivery
Served by: Other
Served by other method: describe
Served by other method: continued
Printed Name