NORTH CAROLINA COUNTY OF WAKE IN THE GENERAL COURT OF JUSTICE DISTRICT COURT DIVISION FILE NO. ____________________________ Assigned Judge:_______________________ ___________________________________, Plaintiff, v. ORDER ___________________________________, Defendant. THIS CAUSE being heard before the undersigned Chief District Court Judge upon the request of Plaintiff Defendant for reassignment. The request for reassignment is hereby: DENIED ALLOWED, for good cause sho wn. The Fam ily Court Office shall assign a new judge immediately. This the _____ day of __________________________, 20_______. _______________________________________________ CHIEF DISTRICT COURT JUDGE FAMILY COURT OFFICE USE ONLY New Judge Assigned: FCCC: Date: WAKE-DOM-3B Page 1 of 2 (Rev. 02/10) American LegalNet, Inc. www.FormsWorkFlow.com CERTIFICATE OF SERVICE I hereby certify that a copy of this Order has been served on the opposing p arty/counsel in the following manner: By depositing a copy in the US Mail in a properly addressed, postpaid envelope to: ________ ____________________________________________________________________ ________ ____________________________________________________________________ By hand delivery to: __________________________________________________________ ________ ____________________________________________________________________ By facsimile to: ___________________________ Fax No.: _______________________ Other: ______________________________________________________________________ ________ ____________________________________________________________________ Date: ________ _____ ________________________________________________________ Plaintiff Defendant Attorney for Plaintiff Attorney for Defendant WAKE-DOM-3B Page 2 of 2 (Rev. 02/10) American LegalNet, Inc. www.FormsWorkFlow.com