THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH http://www.courts.state.nh.us Court Name: Case Name: Case Number: (if known) LIMITED APPEARANCE OR WITHDRAWAL BY ATTORNEY (Pursuant to Super. Ct. Rule 14 or 15, Dist. Ct. Rule 1.3 (D) or (I), Prob. Ct. Rule 14 or 20, or Fam. Div. Rule 1.19) Please enter my limited appearance for [enter client name and address] for the following limited scope [precisely state the scope of this limited representation]: Please withdraw my limited appearance for [enter client name] without motion, as I have completed the terms of the limited representation. I move to withdraw my limited appearance for [enter client name] prior to the completion of the limited representation, for the following reasons: Attorney name Name of law firm (if applicable) Mailing address Telephone number NH Bar ID # E-mail address (optional) I certify that on this date I provided a copy of this document to (other party) or to (other party's attorney) by: Hand-delivery OR US Mail OR E-mail (E-mail only by prior agreement of the parties based on Circuit Court Administrative Order). Date Signature of Attorney Motion to withdraw granted. Recommended: Date Motion to withdraw denied. Signature of Marital Master Printed Name of Marital Master So Ordered: I hereby certify that I have read the recommendation(s) and agree that, to the extent the marital master/judicial referee/hearing officer has made factual findings, she/he has applied the correct legal standard to the facts determined by the marital master/judicial referee/hearing officer. Date Signature of Judge Printed Name of Judge NHJB-2294-DFPS (03/25/2013) Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com