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Here is the text we could read:

 

In the    [  ] District    [  ] Justice    Court of Utah 

__________ Judicial District ________________ County 

Court Address ______________________________________________________ 

Stipulation of Voluntary Dismissal 
(Utah Rule of Civil Procedure 41) 

_____________________________________ 
Plaintiff/Petitioner 

_______________________________ 
Case Number 

_____________________________________ 
Defendant/Respondent 

_______________________________ 
Judge 

_______________________________ 
Commissioner (domestic cases) 

1. 

We agree to dismiss:  

[  ]  the case, or  

[  ]  this part of the case: 

______________________________________________________ (name of 
counterclaim, cross-claim, third party claim or other claim)  

filed by   

[  ]  plaintiff/petitioner    [  ]  defendant/respondent    [  ]  intervenor 

on _____________________ (date). 

We understand that court fees will not be refunded. 

This stipulation is signed by all parties who have appeared. 

1153GEJ Approved December 17, 
2018 / Revised September 25, 2019 

Stipulation of Voluntary Dismissal 

Page 1 of 4 

ame 

ddress 

hone 

mail 

ity, State, Zip 

  N

  A

  C

  P

  E

 

v. 

2. 

3. 

 

 

[  ]  without prejudice, which means that the dismissed claims may be refiled. 

[  ]  with prejudice, which means that the dismissed claims may not be refiled 

4. 

This dismissal is:  

 

   

Plaintiff/Petitioner 

I declare under criminal penalty under the law of Utah that everything stated in this document is true. 

Signed at ______________________________________________________ (city, and state or country). 

Attorney or Licensed Paralegal Practitioner of record (if applicable) 

efendant/Respondent  

I declare under criminal penalty under the law of Utah that everything stated in this document is true. 

Signed at ______________________________________________________ (city, and state or country). 

Attorney or Licensed Paralegal Practitioner of record (if applicable) 

Signature ► 

Printed Name 

Signature ► 

Printed Name 

Signature ► 

Printed Name 

Signature ► 

Printed Name 

 

 

 

 

 

 

 

 

1153GEJ Approved December 17, 
2018 / Revised September 25, 2019 

Stipulation of Voluntary Dismissal 

Page 2 of 4 

 
Date 

 
Date 

    D

 
Date 

 
Date 

   

 

 

I declare under criminal penalty under the law of Utah that everything stated in this document is true. 

Signed at ______________________________________________________ (city, and state or country). 

Attorney or Licensed Paralegal Practitioner of record (if applicable) 

Signature ► 

Printed Name 

Signature ► 

Printed Name 

 

 

 

 

Intervenor 

 
Date 

 
Date 

     

1153GEJ Approved December 17, 
2018 / Revised September 25, 2019 

 

Stipulation of Voluntary Dismissal 

Page 3 of 4 

 

 

 

 

Certificate of Service 

I certify that I filed with the court and am serving a copy of this Stipulation of Voluntary Dismissal on the 
following people. 

Person’s Name 

Service Method 

Service Address 

Service 
Date 

[  ]  Mail 
[  ]  Hand Delivery 
[  ]  E-filed 
[  ]  Email 
[  ]  Left at business (With person in charge 

or in receptacle for deliveries.) 

[  ]  Left at home (With person of suitable 

age and discretion residing there.) 

[  ]  Mail 
[  ]  Hand Delivery 
[  ]  E-filed 
[  ]  Email 
[  ]  Left at business (With person in charge 

or in receptacle for deliveries.) 

[  ]  Left at home (With person of suitable 

age and discretion residing there.) 

[  ]  Mail 
[  ]  Hand Delivery 
[  ]  E-filed 
[  ]  Email  
[  ]  Left at business (With person in charge 

or in receptacle for deliveries.) 

[  ]  Left at home (With person of suitable 

age and discretion residing there.) 

 

 

 

 
Date 

Signature ► 

Printed Name 

 

 

1153GEJ Approved December 17, 
2018 / Revised September 25, 2019 

Stipulation of Voluntary Dismissal 

Page 4 of 4

Stipulation of Voluntary Dismissal

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Utah state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from legacy.utcourts.gov (2023-03)
Page(s): 4
Fields(s): 133
Average fields per page: 33
Reading Level: Grade 7
LIST Grouping(s): GO-00-00-00-00.

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Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Stipulation of Voluntary Dismissal

About This Form:

Identified Data Fields:

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02