In the
Indiana Supreme Court

IN THE MATTER OF 	)	 
				)
The Appointment of 			)
				)	Supreme Court No.  
a Judge Pro Tempore			)		 
				)		
for the County  Superior/Circuit Court 	)		 
			
VERIFIED PETITION FOR TERMINATION OF APPOINTMENT OF JUDGE PRO TEMPORE AND TO RESUME DUTIES OF OFFICE PURSUANT TO TRIAL RULE 63(B)

	The Honorable Name, Judge of the County  Superior/Circuit  Court, petitions this Court to terminate the appointment of a Judge Pro Tempore and to resume the duties of office pursuant to Ind. Trial Rule 63(B). In support of the request, Petitioner represents to the Courts that:

1.	Petitioner is the duly elected holder of the office of judge of the County  Superior/Circuit Court.

2.	Petitioner filed a Verified Petition for Appointment of Judge Pro Tempore on Month Day, 20xx, because of Petitioner’s absence due to reason for need for Judge Pro Tempore, e.g. medical leave, active military service, etc.

3.	 This Court granted the petition and appointed a Judge Pro Tempore on Month Day, 20xx. 

4.	Petitioner is now able to resume the duties of office effective Month Day, 20xx.

5.	Documentation supporting petitioner’s request for termination of the appointment of the Judge Pro Tempore and Petitioner’s request to resume the duties of the office is attached hereto.

	Wherefore, Petitioner respectfully requests the Court to terminate the appoint of the Judge Pro Tempore and permit Petitioner to resume the duties of office effective Month Day, 20xx 

	I affirm, under the penalties for perjury, that the foregoing representations are true.

	Dated this ______ day of _______________, 20____

							________________________________________
							
							Judge, County  Superior/Circuit Court