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ADJOURNMENT REQUEST / WITHDRAWAL / SETTLEMENT NOTIFICATION FOR MOTION CALENDAR RELATED MATTERS

Case Name:

Case Number:

Adversary Number:

Moving Party Name: Requesting Attorney Name: Law Firm Name: Law Firm Phone Number:

Date of Hearing:

Adjournment Requested Adjourned Date: Reason for Adjournment:

Withdrawal Reason for Withdrawal:

Settlement Explain:

Consent of all parties obtained:

Yes

No

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Date: