My Name Address City, State, Zip Phone E-mail I am the Defendant/Respondent Attorney for the Defendant/Respondent and my Utah

Bar number is _________ In the District Court of Utah __________ Judicial District ________________ County Court Address ______________________________________________________ _____________________________________ Answer
Plaintiff/Petitioner

and Counterclaim v. Case Number ___________________ _____________________________________

Defendant/Respondent

Judge _________________________ Commissioner ___________________

Instructions: Attach additional pages to complete paragraphs that dont have enough space. Write the paragraph number on the additional page.

By and through my attorney, (Attorney, check here if you are appearing for your client.) I say as follows: (1) I agree completely with everything stated in the following numbered paragraphs of the complaint or petition:

Answer and Counterclaim

Approved Board of District Court Judges April 17, 2009

Page 1 of 6

(2)

I disagree with all or part of the following numbered paragraphs of the complaint or petition:

(3)

I neither agree nor disagree with the following numbered paragraphs of the complaint or petition because I dont have enough information:

(4)

Referring to paragraph number _________ of the complaint or petition, I state that: [This paragraph is optional. Complete only if you have more to say.]

(5)

Referring to paragraph number _________ of the complaint or petition, I state that: [This paragraph is optional. Complete only if you have more to say.]

Answer and Counterclaim

Approved Board of District Court Judges April 17, 2009

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(6)

Referring to paragraph number _________ of the complaint or petition, I state that: [This paragraph is optional. Complete only if you have more to say.]

Affirmative Defenses
[Optional. Complete these paragraphs only if you know a reason why the plaintiff/petitioner should not win the case, other than what you have already stated in your answers above.]

(7)

(8)

(9)

Counterclaim
[Optional. Explain any claim for damages or other relief that you have against the plaintiff/petitioner.]

Answer and Counterclaim

Approved Board of District Court Judges April 17, 2009

Page 3 of 6

(10)

(11)

(12)

(13)

Request
[Explain what you want the court to do based on your claims and defenses. Be specific. For example, "I ask the court to dismiss the Complaint." Or I want the court to award damages of $_______________.]

(14)

Answer and Counterclaim

Approved Board of District Court Judges April 17, 2009

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(15)

(16)

I also ask for such other relief as the court finds equitable and just.

I declare that I have not included any non-public information in this document. I declare under penalty of Utah Code Section 78B-5-705 that everything stated in this document is true and correct. Sign here Typed or printed name

Date

Answer and Counterclaim

Approved Board of District Court Judges April 17, 2009

Page 5 of 6

Certificate of Service
I certify that I served a copy of this Answer and Counterclaim on the following people. Served at this Persons Name Method of Service Address Mail Hand Delivery Fax (Person agreed to service by fax.) Email (Person agreed to service by email.) Left at business (With person in charge
or in receptacle for deliveries.)

Served on this Date

(Other Party or Attorney)

Left at home (With person of suitable age

and discretion residing there.)

(Clerk of Court)

Mail Hand Delivery Electronic File Mail Hand Delivery Fax (Person agreed to service by fax.) Email (Person agreed to service by 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 Fax (Person agreed to service by fax.) Email (Person agreed to service by 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

Sign here Typed or printed name

Answer and Counterclaim

Approved Board of District Court Judges April 17, 2009

Page 6 of 6