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Here is the text we could read:

 

ity, State, Zip 

 
My Name 

ddress 

hone 

mail 

  A

  C

  P

  E

I am   [  ]  Plaintiff/Petitioner Attorney 

[  ]  Defendant/Respondent’s Attorney  (Utah Bar #:__________) 

In the [  ] District     [  ] Justice Court of Utah 

__________ Judicial District ________________ County 

Court Address ______________________________________________________ 

_____________________________________ 
Plaintiff/Petitioner 

_______________________________ 
Case Number 

Notice of Limited Appearance 

_____________________________________ 
Defendant/Respondent 

_______________________________ 
Judge 

_______________________________ 
Commissioner (domestic cases) 

I notify the court and parties that: 

1. 

The court has appointed me to provide limited legal help to 

[  ] Plaintiff/Petitioner    [  ] Defendant/Respondent, 

who is in military service and who is in default for having failed to answer a 
complaint/petition in a timely manner. 

2. 

I accept that appointment, and I will: 

 

try to find and contact the service member; 

  notify the service member of this case; 

  communicate to the court whether I have been able to locate and contact the 

service member; 

Notice of Limited Appearance 

Approved Board of District Court Judges March 26, 2010 
Revised May 1, 2019 

Page 1 of 3 

v. 

 

  advise the service member of their rights and options; 

  communicate to the court whether the service member wants to consent to 

the relief requested in the complaint/petition or to contest the matter; 

o 

o 

o 

If the service member wants to request a stay, I will prepare, file and serve 
the documents to request that this case be stayed. 

If the service member wants to consent to the judgment, I will prepare, file 
and serve the documents to waive rights under the Servicemembers Civil 
Relief Act and consent to judgment. 

If the service member wants to contest the case and move forward 
immediately, I will prepare, file and serve the documents to waive rights 
under the Servicemembers Civil Relief Act, but filing an answer (or other 
responsive pleading) is beyond the scope of my limited legal help. 

  appear at hearings as needed to decide whether to stay this case; 

  notify the court and parties if the service member hires me for representation 

beyond the scope of this Notice; and 

 

file and serve a Notice of Withdrawal upon termination of representation 
stated in this Notice. 

The service member is responsible for all matters not described in this Notice. 

Papers related to a matter within the scope of this Notice should be served on 
me at the address stated above and on the service member. Papers not related 
to a matter within the scope of this Notice should be served on the service 
member alone. 

The clerk should enter my appearance and a brief description of this limited 
appearance on the case history of this case. 

6. 

I have not included any non-public information in this document. 

 

Signature ► 

Attorney  

 

 

Notice of Limited Appearance 

Approved Board of District Court Judges March 26, 2010 
Revised May 1, 2019 

Page 2 of 3 

3. 

4. 

5. 

Date 

 

I certify that I filed with the court and am serving a copy of this Notice of Limited Appearance on the 
following people. 

Certificate of Service 

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 

 

 

Notice of Limited Appearance 

Approved Board of District Court Judges March 26, 2010 
Revised May 1, 2019 

Page 3 of 3

Notice of Limited Appearance

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): 3
Fields(s): 80
Average fields per page: 26
Reading Level: Grade 13
LIST Grouping(s): Unknown

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

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.

Here are the fields we could identify.

users1_name__1 was my_name (1.00 conf)
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city_state_zip was city__state__zip (0.35 conf)
users1_phone_number was phone (1.00 conf)
email was email (0.38 conf)
af_f was AFF005 (0.51 conf)
district_justice_court_utah was in_the_district_justice_court_of_utah (0.40 conf)
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court_address was court_address (0.42 conf)
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page_field__3 was page_0_field_12 (0.31 conf)
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plaintiff_petitioner was plaintiff_petitioner (0.50 conf)
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commissioner_domestic_cases was commissioner__domestic_cases (0.38 conf)
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judge was judge (0.39 conf)
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page_field__29 was page_0_field_45 (0.31 conf)
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page_check__2 was page_0_check_2 (0.33 conf)
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users1_signature was signature (1.00 conf)
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users1_name__2 was printed_name (1.00 conf)
page__3 was page_3_of_3 (0.42 conf)
left_home_person_suitable was left_at_home__with_person_of_suitable (0.45 conf)
mail was mail (0.38 conf)
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left_business_person_charge was left_at_business__with_person_in_charge (0.48 conf)
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page_check__16 was page_2_check_16 (0.26 conf)
page_check__17 was page_2_check_17 (0.26 conf)

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

Notice of Limited Appearance

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