Published 11/02/2017, CN 12205
Name
Address
Telephone Number
Case Type:
,
Docket Number:
Plaintiff
Civil Action
Substitution of Attorney
v.
,
Defendant
The
undersigned hereby consents to the substitution of:
(Your name)
, as Pro-Se
(check one)
Plaintiff
Defendant
in the above entitled action, pursuant to
Rule 1:11-2.
Dated
Withdrawing Attorney Signature
Withdrawing Attorney Printed Name
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