Free Consent to Proceed Before a United States Magistrate Judge - Missouri

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Plaintiff(s),

vs.

Case No.

Defendant(s),

CONSENT TO JURISDICTION BY UNITED STATES MAGISTRATE JUDGE In accordance with the provisions of Title 28, U.S.C. Sec. 636(c)(1), the undersigned (party*) ) in the above-captioned civil matter hereby (counsel of record for 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 judgement, with direct review by the Eighth Circuit Court of Appeals if an appeal is filed. Date: Signature Print Name:

DISTRICT JUDGE OPTION Pursuant to Title 28, U.S.C. Sec. 636(c)(2), the undersigned (party*) (counsel of record for ) in the above-captioned civil matter hereby 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 I hereby certify that a true copy of the foregoing Consent was served (by mail) (by hand delivery) on all parties of record in this cause, this day of , 20 .

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