NORTH CAROLINA WAKE COUNTY IN THE GENERAL COURT OF JUSTICE DISTRICT COURT DIVISION FILE NO. ________________ Assigned Judge In the matter of: MOTION AND ORDER TO WITHDRAW The undersigned Assistant Wake County Attorney, Counsel of record for __________________________, the parent of the juvenile, Guardian ad Litem for ____________________________, the parent of juvenile, Guardian ad Litem-Attorney Advocate, moves the Court to withdraw from the above captioned case for good cause as stated below: _________________________________________________________________________________________________ _________________________________________________________________________________________________ ____________ _______________________________________ Date Print Name _______________________________________________ Signature ORDER ALLOWING WITHDRAWAL and APPOINTMENT OF SUBSTITUTE FOR GOOD CAUSE SHOWN, it is hereby ordered that ____________________________ is permitted to withdraw as Assistant Wake County Attorney, Counsel of record for _________________, the parent of the juvenile, Guardian ad Litem for ____________________, the parent of juvenile, Conflict Guardian ad Litem-Attorney Advocate AND that ____________________________________________ be appointed in his/her stead. ____________ Date _____________________________________________ JUDGE PRESIDING Certification of Counsel I hereby certify that: 1. I am forwarding a copy of this Order to the Wake County Attorney’s Office, to the counsel of record/Guardian ad Litem for the parent (if any), and to the Guardian ad Litem Attorney Advocate. I am also forwarding a copy of this Order with all court documents and all relevant documents in my possession to the replacement appointed above. 2. I have received discovery materials provided by the Wake County Attorney’s Office and have forwarded the materials to the attorney/Guardian ad Litem for parent appointed above. OR, I have not received any discovery materials provided by the Wake County Attorney’s Office. I understand that any future discovery materials received by me are to be forwarded to the replacement appointed above. 3. The last known mailing address for the parent is: __________________________________________________________________________________________ ________________ Date ____________________________________________________________ Attorney Guardian ad Litem for Parent Conflict Guardian ad Litem-Attorney Advocate WAKE-JUV (AND)-3 (REV 02/06) (PAGE 1 of 1) American LegalNet, Inc. www.USCourtForms.com