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AOC-040 Doc. Code: WR Case No.

Rev. 8-02 leave blank if unknown


11/16/2011 11:00 am
Page 1 of 1 Court
Ver. 1.01
Commonwealth of Kentucky
County
Court of Justice www.kycourts.net WAIVER OF RECORDING

PLAINTIFF

VS.

DEFENDANT

We have been advised of and hereby waive our rights to have these proceedings recorded or reported. We
understand there will be no verbatim account of the proceedings and this may hinder an appeal.

Date: ___________________, 2______.

_______________________________________________ ____________________________________________
Plaintiff’s Signature Defendant’s Signature

_______________________________________________ ____________________________________________
Plaintiff’s Attorney Defendant’s Attorney

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