Fillable ATTACHMENT PB-4074 (The Superior Court of California, County of Santa Clara)

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ATTACHMENT PB-4074 (The Superior Court of California, County of Santa Clara)

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ATTACHMENT PB-4074
PB-4074 07/01/19
RESPONSE TO APPLICATION TO BE RELIEVED AS
COUNSEL FOR MINOR CHILD
Page 1 of 1
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA
FOR COURT USE ONLY
STREET ADDRESS:
201 North First Street, San José, CA 95113
MAILING ADDRESS:
191 North First Street
CITY AND ZIP CODE:
San José, California 95113
BRANCH NAME:
Family Justice Center
PETITIONER:
RESPONDENT:
RESPONSE TO APPLICATION TO BE RELIEVED AS COUNSEL
FOR MINOR CHILD
CASE NUMBER:
Petitioner Respondent
1. I, , declare as follows:
a. I am the attorney for the Father/Mother/Joined party in this case.
b. I am the Father Mother other party _______________ in this case. I am self-represented.
2. I agree with the Counsel for Minor Child’s request to be relieved.
3. I object to the Counsel for Minor Child’s request to be relieved for the following reasons
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
4. I served a copy of this Response to all parties, including Counsel for Minor Child on ________________
by: mail personal service other _______________________________
Date:
Name of Declarant
Signature of Declarant
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ATTACHMENT PB-4074 (The Superior Court of California, County of Santa Clara)

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Completed 29 June 2021

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