Kentucky Entry of Appearance and Waiver Form
This form must be filled in by the Defendant and returned to the court clerk’s office after a Petition has been filed.
NO. (A) ____________________ JEFFERSON CIRCUIT COURT
FAMILY DIVISION _________
(print name of Petitioner)
SELF HELP FORM #2
v. ENTRY OF APPEARANCE AND WAIVER
(print name of Respondent)
* * * * * * * * *
The Respondent comes without counsel and states:
I have read the Petition, have understood it, and do not contest it. I waive service of summons, enter my appearance, and submit to the jurisdiction of the Court. I understand that, if my spouse has an attorney, that attorney does not represent me, and that I may hire my own attorney but choose not to do so. I waive service of any notice of hearing, taking of deposition, motion to submit for judgment, or entry of judgment. I waive any right of appeal.
(signature of Respondent)
COMMONWEALTH OF KENTUCKY )
COUNTY OF _____________________)
Subscribed and sworn to before me by the above-named Respondent on this ________ day of ____________________, 200____.
My commission expires: _________________________.
State at Large, Kentucky or