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Appearance And Waiver

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CASE NUMBER

STATE OF HAWAI‘I

FAMILY COURT

APPEARANCE AND WAIVER

FC-D NO.

THIRD CIRCUIT

This document is prepared by

Plaintiff

Defendant

Atty. for Plaintiff

Atty. for Defendant

PLAINTIFF

_________________________________________________

(Full Name)

Name

_________________________________________________

VS.

_________________________________________________

Address

_________________________________________________

City, State, Zip

DEFENDANT

_________________________________________________

(Full Name)

Phone

I, the Defendant, acknowledge receipt of a filed copy of the Complaint and Summons in the above-entitled

action, submit myself to the Court’s jurisdiction, and have agreed with the Plaintiff on the matters set forth in

a signed agreement incident to divorce.

a form of Decree which I have approved by signature.

I consent to a hearing of the complaint by a judge at any time without further notice and without my presence

so long as the Decree issued incorporates the provisions I have approved. If such Decree is not entered by the

Court, I request to be notified.

I understand that I am not required to sign this paper and that by doing so I am permitting the Court without

opposition from me to proceed with the above-entitled matter at this time unless there is reason for the Court to

alter our agreement.

I am not in the military service of the United States.

I am in the military service of the United States, but I do not request a stay of proceedings herein, and I do

waive any rights I may have under the Soldiers’ and Sailors’ Civil Relief Act, 50 U.S.C. Sec. 521, et. seq.

DATE

DEFENDANT’S SIGNATURE

REPROGRAPHICS (6/08)

APPEARANCE AND WAIVER 3F-P-264

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