Appearance/withdrawal - The State Of New Hampshire Judicial Branch

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THE STATE OF NEW HAMPSHIRE
JUDICIAL BRANCH
Court Name:
Case Name:
Case Number:
(if known)
APPEARANCE/WITHDRAWAL
APPEARANCE
Type of appearance (Select One)
Appearance
Limited Appearance (Civil cases only)
If limited appearance, scope of representation:
Select One:
As Counsel for:
(Name)
(Address)
(Telephone Number)
(Name)
(Address)
(Telephone Number)
(Name)
(Address)
(Telephone Number)
I will represent myself (self-represented)
WITHDRAWAL
As Counsel for
Type of Representation: (Select one)
Appearance:
Notice of withdrawal was sent to my client(s) on:
at the following address:
A motion to withdraw is being filed.
Limited Appearance: (Select one)
I am withdrawing my limited appearance as I have completed the terms of the limited
representation.
The terms of limited representation have not been completed. A motion to withdraw is being
filed.
I certify that on this date I provided a copy of this document to the parties who have filed an
appearance for this case by:
Hand-delivery OR
US Mail OR
Email
(only when there is prior
agreement of the parties to use this method of service).
Date
Signature
Mailing Address
Printed Name
Email Address
Telephone
NH Bar ID # if attorney
NHJB-2318-S (03/24/2014)
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