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KITSAP COUNTY DISTRICT COURT, STATE OF WASHINGTON __________________________________________, Plaintiff, vs. __________________________________________, Defendant. COMES NOW the plaintiff NO. MOTION AND DECLARATION CIVIL defendant and moves the court for the following relief (briefly and clearly state what you want the court to do): . This motion is made for the reasons stated in the declaration below. Signature: Printed Name: Mailing Address: _________________________ _________________________ _________________________ _________________________ Telephone No.: (_____) __________________ The undersigned states the following reasons for the requested motion. All statements are made to the best of my personal knowledge and belief. __________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________. I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. Signature: ________________________________ Printed Name: _____________________________ Signed at (City/State): _______________________ Date: ____________________________________ Revised 7/07/10 American LegalNet, Inc. www.FormsWorkFlow.com