Consent To Change Attorney - New York Supreme Court

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SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF NASSAU
----------------------------------------------------------------------------x
[1. Index No. & Year]
,
Index No.
[2. Fill in name(s)]
Plaintiff(s)/Petitioner(s)
/
CONSENT TO CHANGE
-against-
ATTORNEY
,
[3. Fill in name(s)]
Defendant(s)/Respondent(s)
-----------------------------------------------------------------------------x
IT IS HEREBY STIPULATED AND AGREED that the representation of the [4. Circle one]
plaintiff/ defendant in the above-entitled action, shall be changed as follows.
[5. Fill in attorney information]
NAME OF INCOMING ATTORNEY
(Party Name if unrepresented)
ADDRESS
PHONE/FAX
[6. Fill in attorney information]
NAME OF OUTGOING ATTORNEY
ADDRESS
PHONE/FAX
[7. Date]
Dated:
[8. Incoming Attorney Signature]
[9. Outgoing Attorney Signature]
[10.Print Name]
[11. Print Name]

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