Form 19.01 20 No. Family Court for the Province of Nova Scotia Between: Applicant and Respondent Notice of Withdrawing Party withdrawing [check applicable box] I am an applicant and filed my application on □ [date]. I am a respondent and filed my response on □ [date]. Withdrawal of application or response or portion [check applicable box] I withdraw my whole application or my whole response. □ I will continue my application or my response except for the following claims, □ which I withdraw: [describe the claims you do want to proceed with] not Proceeding may continue I understand that the proceeding may continue as directed by the court and the court may make an order in relation to this proceeding. I confirm that my contact information and address for delivery of documents provided to a family court officer is current and correct. Signature Signed 20 [month/day], . Signature Print Name:
Form 19.01 20 No. Family Court for the Province of Nova Scotia Between: Applicant and Respondent Notice of Withdrawing Party withdrawing [check applicable box] □ I am an applicant and filed my application on [date]. □ I am a respondent and filed my response on [date]. Withdrawal of application or response or portion [check applicable box] □ I withdraw my whole application or my whole response. □ I will continue my application or my response except for the following claims, which I withdraw: [describe the claims you do not want to proceed with] Proceeding may continue I understand that the proceeding may continue as directed by the court and the court may make an order in relation to this proceeding. I confirm that my contact information and address for delivery of documents provided to a family court officer is current and correct. Signature Signed [month/day], 20 . Signature Print Name:
nsfc_Form_19.01_NoticeofWithdrawing_17_05.docx