Appearance And Waiver Of Notice Of Hearing Page 2

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I agree to be available to accept a collect call to answer questions during the hearing. I
understand that several hearings may be scheduled at the same time and I should remain
available for at least one hour after the scheduled hearing time.
Call me collect at
.
Area Code
Telephone Number
Please Note: Cellular telephones cannot accept collect calls.
If this number changes, I agree to keep the party who will attend the hearing advised of
the phone number where I may be reached at the time of the hearing. I understand that
even though I have waived my right to be present at the hearing, the court may still
require that I attend the hearing.
Date
Signature of Husband or Wife
Mailing Address
City
State
Zip
ACKNOWLEDGMENT
This is to certify that on
, the person who executed the above
instrument appeared before me personally in
, Alaska and acknowledged
to me that he/she signed the same freely and voluntarily for the purposes stated in it.
(SEAL)
Clerk of Court, Notary Public or other person
authorized to administer oaths.
My Commission Expires:
Page 2 of 2
DR-110 (9/08)(cs)
AS 25.24.200(c)
APPEARANCE AND WAIVER OF NOTICE OF HEARING
AS 25.24.220(i)

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