-1- (Rev. 4/8/15) UNITED STATES DISTRICT COURT FOR THE DISTRICT OF KANSAS , ) ) Plaintiff(s) ) ) Case No. v. ) ) , ) ) Defendant(s). ) NOTICE OF WITHDRAWAL OF ATTORNEY ON CONCLUSION OF LIMITED ENTRY OF APPEARANCE In accordance with the agreement between the undersigned attorney and (name of party) for limited representation, the undersigned attorney withdraws as an attorney of record in this case. 1. I was retained for the following limited scope services: [Provide a detailed description as was included in the Notice(s) of Limited Entry of Appearance.] 2. I have completed all services within the scope of my representation. 3. The last known service address for (name of client) is: [insert address unless confidential by court order or rule] 4. The last known phone number for (name of client) is: [insert phone number unless confidential by court order or rule] My withdrawal pursuant to this Notice will be effective unless an objection is filed not later than 14 days after this Notice is filed. (Attorney222s Signature) Attorney222s Name Supreme Court Number Address American LegalNet, Inc. www.FormsWorkFlow.com -2- Telephone Number [Fax Number] [E-mail address] American LegalNet, Inc. www.FormsWorkFlow.com -3- CERTIFICATE OF SERVICE The undersigned certifies that on the day of , 20, a copy of the above Notice of Withdrawal of Attorney on Conclusion of Limited Appearance was served as follows: [List name and nonconfidential address of each person served.] (Signature) American LegalNet, Inc. www.FormsWorkFlow.com