Form 810 - Notice Of Appearance And Intent To Represent Myself Page 2
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1
2REQUEST TO THE COURT
I request that the Court:
Deny the Petition for Wage withholding and Grant any other relief this Court determines is
appropriate.
I hereby swear or affirm that the information above is true to the best of my knowledge and
belief.
Signature
Date
Signed and sworn to before me:
Date
Signature of Notary Public
Expiration Date
9/10 SML
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Parent category: Legal