Dispute Resolution
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This is the model form of Application asking the court for something but remove this sentence from whatever you send to the court.

To the Place County Court                                                                            Case Number





                                                                                                                                 Plaintiff

                                                                                      -and-

                                                                                                                                 Defendant



     We wish to apply for:-


















        Dated:


         (signed)     

         Address for service:                                                                           



-------------------------End of model------------------------------