7/31/2019 Appearance Withdrawal

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THE STATE OF NEW HAMPSHIREJUDICIAL BRANCH

http://www.courts.state.nh.us

Court Name:

Case Name:

Case Number:(if known)

APPEARANCE/WITHDRAWAL

APPEARANCE WITHDRAWALPlease enter my appearance as Please withdraw my appearance as

Counsel for Counsel for

I will represent myself (pro se). Notice of Withdrawal sent to my clients on:

at the following address:

I hereby certify that duplicates of this notice were delivered mailedto the person(s) listed

below (or on attached list) on :Date

Name

Address

Date Signature

Printed Name

MailingAddress

Telephone NH Bar ID #

EmailAddress (optional)

NHJB-2391-DF (05/06/2008) Page 1 of 1(formerly AOC 600-008)

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