Kentucky Entry of Appearance and Waiver Form

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NO. (A) ____________________                                                JEFFERSON CIRCUIT COURT

FAMILY DIVISION _________

 

 

(B)__________________________                                                                           PETITIONER

(print name of Petitioner)

 

SELF HELP FORM #2

v.                                       ENTRY OF APPEARANCE AND WAIVER

 

(C)__________________________                                                                        RESPONDENT

(print name of Respondent)

* * *   * * *   * * *

The Respondent comes without counsel and states:

I have read the Petition, have understood it, and do not contest it.  I waive service of summons, enter my appearance, and submit to the jurisdiction of the Court.  I understand that, if my spouse has an attorney, that attorney does not represent me, and that I may hire my own attorney but choose not to do so.  I waive service of any notice of hearing, taking of deposition, motion to submit for judgment, or entry of judgment.  I waive any right of appeal.

 

(D)

(signature of Respondent)

 

COMMONWEALTH OF KENTUCKY      )

)

COUNTY OF _____________________)

 

Subscribed and sworn to before me by the above-named Respondent on this ________ day of ____________________, 200____.

 

My commission expires: _________________________.

 

Notary Public

State at Large, Kentucky or

Deputy Clerk