Clear Form
THE STATE OF NEW HAMPSHIRE
JUDICIAL BRANCH
http://www.courts.state.nh.us
Court Name: Case Name: Case Number:
(if known)
APPEARANCE/WITHDRAWAL
APPEARANCE Please enter my appearance as Counsel for WITHDRAWAL Please withdraw my appearance as 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 below (or on attached list) on
Date Name Address
delivered :
mailed to the person(s) listed
Date
Signature
Printed Name
Mailing Address
Telephone
NH Bar ID #
Email Address (optional)
NHJB-2391-DF (05/06/2008) (formerly AOC 600-008)
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