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Fill and Sign the Justia Notice Consent and Order of Reference Exercise of Form

Fill and Sign the Justia Notice Consent and Order of Reference Exercise of Form

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'AO 85 (Rev. 8/98) Notice, Consent, and Order of Reference  Exercise of Jurisdiction by a United States Magist rate Judge U NITED STATES D ISTRICT C OURT District ofNOTICE, CONSENT, AND ORDER OF REFERENCE  EXERCISE OF JURISDICTION BY A UNITED STATES Plaintiff MAGISTRATE JUDGE V. Case Number: Defendant N OTICE OF A VAILABILITY OF A U NITED STATES M AGISTRATE JUDGE TO EXERCISE JURISDICTION In accordance wi th the provis ions of 28 U.S.C. §636(c), and Fed.R.Civ.P. 73, you are notifi ed that a United St ates magistrate j udge of this district court is av ailable to co nduct any or all proceedi ngs in this case including a jury or nonju ry trial, and to or der the entry of a final judgm ent. Exercise of this jurisdicti on by a magistr ate judge is, h owever, per mitted only if all parties volun tarily consent. You may, without ad verse substant ive consequences, wi thhold your consent, but this wi ll prevent the court' s jurisdic tion from being exerc ised by a magis trate judge. If any party withholds consen t, the ident ity of the pa rties consent ing or withholding consent will not be communicated to any magistrate judge or to the district judge to whom the case has been assigned. An appeal from a judgment entered by a mag istrate judge shall be taken d irectly to the United States court of appeals for this judicial circ uit in the same manner as an appea l from any othe r judgmen t of this district co urt. C ONSENT TO THE EXERCISE OF JURISDICTION BY A U NITED STATES M AGISTRATE JUDGE In accordance wi th provisions of 28 U.S.C. §636(c) and Fed.R.C iv.P. 73, the par ties in this case consent to ha ve a United States magis trate judge conduct any and all pro ceedings in this case, includ ing the tria l, order the en try of a fin al judgment, and conduct all post-judgment proceedings. Party Represented SignaturesDate O RDER OF R EFERENCE IT IS ORD ERED that this case b e referred to United States Magistrate Judge, to conduct all proceedings and order the entry of judgment in accordance with 28 U.S.C. §636(c) and Fed.R.Civ.P. 73. Date United States District Judge NOTE:RETURN THIS FORM TO THE CLERK OF THE COURT ONLY IF ALL PARTIES HAVE CONSENTED ON THIS FORM TO THE EXERCISE OF JURISDICTION BY A UNITED STATES MAGISTRATE JUDGE.

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