United States Court of Appeals for the Second Circuit Thurgood Marshall United States Courthouse 40 Foley Square New York, NY 10007 At a stated Term of the United States Court of Appeals, in and for the Second Circuit, held at the United States Courthouse, in the City of New York, on the day of _____________________, two thousand _______. _______________________________________ Affidavit/Affirmation For Removal of Record - against _______________________________________ STATE OF NEW YORK COUNTY OF } } Docket No. ________________ ________________________________ , being duly sworn, deposes and says (affirms, under penalties of perjury): I am an attorney associated with _________________________________________________________________, known to represent the above named ______________________________________ on the present appeal. It will be extremely burdensome to prepare the_____________________ 's brief if I am required to examine the records in the Clerk's Office. WHEREFORE, your deponent requests that this Court allow the removal of the original record from the Clerk's Office for the purpose of examining and, if necessary, copying the matter contained therein. _______________________________________ Sworn to me this ____________ day of _____________________, 200__. _____________________________ Notary Public ====================================================================================== Pursuant to the scheduling order dated __________ , and attached, the original record may be removed from the file of this Court by ______________________________________ , counsel for the _____________________ , for the purpose of examining the record and copying some of the matters contained therein. THE RECORD SHALL BE RETURNED TO THIS COURT NOT LATER THAN THE DATE OF THE FILING OF THE BRIEF AND APPENDIX THERETO. CATHERINE O'HAGAN WOLFE, CLERK By: __________________________ Deputy Clerk American LegalNet, Inc. www.FormsWorkflow.com