JDF 630 Civil Notc of Limited Appr w Cert of Svc 10 - 11 District Court County Court County, Colorado Court Address: Plaintiff : and Defendant : COURT USE ONLY Attorney (Name and Address) : Phone Number: E - mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom NOTICE OF LIMITED APPEARANCE BY ATTORNEY WITH CONSENT OF PRO SE PARTY UNDER C.R.C.P. 11(b) AND 121, SECTION 1 - 1 (5) IN A CIVIL MATTER COMES NOW (name of attorney) , and en ters a limited appearance as counsel for ( the pro se party in interest to this notice ) and a s grounds therefore, counsel states: 1. The pro se party in interest to this notice has requested and consented to this limited app earance for the following proceeding(s) : . 2. I have advised the pro se party in interest that the Court retains jurisdiction over the pro se party in in terest to this case . T hat at the conclusion of this limited appearance he/she has the burden of keeping the Court and the other parties informed where later notices, pleadings, and other papers may be served; that he/she has the obligation to prepare for trial or have other counsel prepare for trial; and that failure or refusal to meet these burdens may subject him/her to a possible default and that the dates of any proceedings including trial and holding of such proceedings will not be a ffected by the co mpletion of the limited appearance of counsel. Service of process may be served upon the pro se party in interest to this case at the last known address which is: , Phone: The following hearings or other Court settings have been scheduled in this case: . DATE: , 20 Attorney Signature: Name: Registration No: Address: Phone: American LegalNet, Inc. www.FormsWorkFlow.com JDF 630 Civil Notc of Limited Appr w Cert of Svc 10 - 11 American LegalNet, Inc. www.FormsWorkFlow.com JDF 630 Civil Notc of Limited Appr w Cert of Svc 10 - 11 District Court County Court County, Colorado Court Address: Plaintiff: and Defendant: COURT USE ONLY Attorney (Name and Address) : Phone Number: E - mail: FAX Number: Atty. R eg. #: Case Number: Division Courtroom CERTIFICATE OF SERVICE OF NOTICE OF LIMITED APPEARANCE BY ATTORNEY WITH CONSENT OF PRO SE PARTY UNDER C.R.C.P. 11(b) AND 121, SECTION 1 - 1 (5) IN A CIVIL MATTER I certify that on ( date) a true and accurate copy of the Notice of Limited Appearance by Attorney with Consent of Pro Se Party Under C.R.C.P. 11(b) and 121, Section 1 - 1(5) in a Civil Matter was served on the client and all other counsel or parties of record by : Hand Delivery, E - filed , Faxed to this number , or P lacing it in the United States mail, postage pre - paid, and addressed to the following: To: Date: Print Name Sign ature American LegalNet, Inc. www.FormsWorkFlow.com