The accompanying affidavit of (here insert name of affiant) will be introduced as evidence at the hearing set for the_______________day of_______________ ,2 _______________ . (Here insert name of affiant) will not be called to testify orally, and you will not be entitled to question him unless you notify the undersigned that you wish to cross-examine him. To be effective your request must be mailed or delivered to the undersigned on or before seven (7) days from the date this notice and the enclosed affidavit are served upon you.
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(Party or Counsel)
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