IN THE COUNTY COURT OF POLK COUNTY, FLORIDA
CLAIMS DIVISION
CASE NO. _______________________
Plaintiff ,
vs.
Defendant .
__________________________________/
NOTICE OF DISMISSAL
The plaintiff hereby files this Notice of Dismissal of Plaintiff
's Statement of Claim pursuant to Rule 7.110(a)(1).Dated this _____ day of ___________________, 19_____.
CERTIFICATE OF SERVICE
I HEREBY CERTIFY that a true and correct copy of the above has been furnished by regular U.S. Mail to ____________________________________________________ this _____ day of __________________, 19_____.
__________________________________
Plaintiff
c:\civil\forms\75.doc (7/96)