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This is a North Carolina form that can be used for Wake (District 10) within Local County.
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NORTH CAROLINA COUNTY OF WAKE IN THE GENERAL COURT OF JUSTICE DISTRICT COURT DIVISION FILE NO. ____________________________ Assigned Judge:_______________________ ___________________________________, Plaintiff, v. ___________________________________, Defendant. ORDER THIS CAUSE being heard before the undersigned Chief District Court Judge upon the request of hereby: DENIED ALLOWED, for good cause sho wn. The Fam ily Court Office shall assign a new judge immediately. This the _____ day of __________________________, 20_______. _______________________________________________ CHIEF DISTRICT COURT JUDGE Plaintiff Defendant for reassignment. The request for reassignment is FAMILY COURT OFFICE USE ONLY New Judge Assigned: FCCC: Date: WAKE-DOM-3B Page 1 of 2 (Rev. 02/10) American LegalNet, Inc. www.FormsWorkFlow.com CERTIFICATE OF SERVICE I hereby certify that a copy of this Order has been served on the opposing p arty/counsel in the following manner: By depositing a copy in the US Mail in a properly addressed, postpaid envelope to: ________ ____________________________________________________________________ ________ ________ ____________________________________________________________________ ____________________________________________________________________ Fax No.: _______________________ By hand delivery to: __________________________________________________________ By facsimile to: ___________________________ ________ Other: ______________________________________________________________________ ____________________________________________________________________ ________________________________________________________ Plaintiff Defendant Attorney for Plaintiff Attorney for Defendant Date: ________ _____ WAKE-DOM-3B Page 2 of 2 (Rev. 02/10) American LegalNet, Inc. www.FormsWorkFlow.com
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