Court Defendant Appearance Form

COURT DEFENDANT APPEARANCE FORM

Court Name:    Case Number:

Case Title:

Defendant Name:    Date of Birth: Day Month Year

RECITALS

WHEREAS, the above-captioned matter is pending before the court identified above and is assigned case number ; and

WHEREAS, Defendant seeks to formally enter an appearance in this proceeding on the record for purposes set forth herein; and

WHEREAS, attorney appearance and defendant acknowledgement are necessary to ensure proper service, notice, and recordation of counsel of record or of a pro se appearance;

NOW, THEREFORE, in consideration of the matters recited above and the mutual covenants contained herein, the parties agree as follows:

1. ENTRY OF APPEARANCE

1.1 Defendant hereby enters appearance in this action by the individual identified below, and/or elects to appear pro se as indicated. Representation status (check one):

Appearance by Attorney Appearance Pro Se (self-represented)

2. SCOPE OF APPEARANCE

2.1 The attorney, if any, enters an appearance to represent the Defendant in all matters related to the above-captioned case unless limited below. By entering this appearance the attorney accepts service of all filings, notices, and communications required by the rules of the court, subject to any limitations expressly set forth in subsection 2.2.

2.2 Limitations on representation (if any):

3. SERVICE OF PROCESS AND NOTICES

3.1 Service and official notices shall be directed to the contact information provided for the appearing party. Service directed to counsel constitutes service on Defendant where counsel has entered appearance. If Defendant appears pro se, service to the address provided below constitutes service on Defendant.

4. ACKNOWLEDGMENTS, CERTIFICATIONS, AND WAIVERS

4.1 By signing below, Attorney certifies that the attorney is admitted to practice in this jurisdiction or otherwise authorized to appear pursuant to the court's rules and that the attorney's representation of Defendant is made with due diligence and candor to the tribunal. Attorney further certifies that the attorney is authorized to accept service on behalf of Defendant to the extent stated in this form.

4.2 By signing below, Defendant acknowledges receipt of advice regarding the right to counsel, the right to a trial, and other fundamental rights implicated in these proceedings, and acknowledges that entry of appearance by counsel or pro se entry is voluntary. Defendant further acknowledges that false statements in this form may subject the signer to sanctions, contempt, or criminal penalties as provided by law.

5. HEARING INFORMATION

Next Scheduled Hearing Type:    Next Hearing Date: Day Month Year

6. MISCELLANEOUS PROVISIONS

Governing Law: This Appearance Form shall be governed by the laws and procedural rules of the jurisdiction of the court identified above. Any dispute regarding interpretation or enforcement of matters set forth herein shall be resolved by the court in which the matter is pending.

Entire Agreement: This document constitutes the entire appearance agreement between the parties for purposes of identifying counsel and service in the above captioned matter and supersedes any prior oral or written appearance statements submitted in this matter to the extent inconsistent.

Severability: If any provision of this form is determined invalid or unenforceable by a court of competent jurisdiction, the remaining provisions shall remain in full force and effect.

Amendments; Waiver: Any amendment to this Appearance Form must be in writing and signed by the party to be charged. No waiver of any provision shall be effective unless in writing and signed by the waiving party.

Counterparts: This Appearance Form may be executed in counterparts, each of which shall be deemed an original and all of which together shall constitute one instrument.

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