Free Corel Office Document - Arizona

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Date: vs.

(FOR USE IN CIVIL CASES WITH MAG JUDGE AS PRESIDER) UNITED STATES DISTRICT COURT DISTRICT OF ARIZONA
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Plaintiff(s)

Case No.

Defendant(s)

CONSENT TO EXERCISE OF JURISDICTION BY UNITED STATES MAGISTRATE JUDGE In accordance with provisions of Title 28, U.S.C. Sec. 636(c)(1), the undersigned (party)(counsel of record for ) in the above-captioned civil matter hereby voluntarily consents to have a United States Magistrate Judge conduct any and all further proceedings in the case, including trial and entry of a final judgment, with direct review by the Ninth Circuit Court of Appeals if an appeal is filed.

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Signature

Print Name

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DISTRICT JUDGE OPTION

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Pursuant to Title 28, U.S.C. Sec. 636(c)(2) the undersigned (party)(counsel of record for

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) in the above captioned civil matter acknowledges the availability of a United States Magistrate Judge but elects to have this case randomly assigned to a United States District Judge. Date: Signature

Print Name

CERTIFICATE OF SERVICE

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I hereby certify that a true copy of the foregoing Consent was served (by mail) (by hand delivery) on all parties

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of record in this case, this

day of

, 19 Signature

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DO NOT ELECTRONICALLY FILE. RETURN THIS FORM TO THE CLERK'S OFFICE NOT LATER THAN TWENTY DAYS FROM YOUR APPEARANCE IN THIS CASE