Consent To Proceed Or Refusal To Consent To Proceed Before US Magistrate Judge

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW MEXICO Plaintiff(s), -vsCivil No. ___________________________ Defendant(s). CONSENT TO PROCEED / REFUSAL TO CONSENT TO PROCEED BEFORE A UNITED STATES MAGISTRATE JUDGE In accordance with 28 U.S.C. § 636(c) and Rule 73(b) of the Federal Rules of Civil Procedure, the above-entitled action has been assigned to United States Magistrate Judge: _______________________________________________ to conduct dispositive proceedings in this case, including motions and trial, entry of final judgment, and all post-judgment proceedings. Exercise of this jurisdiction by a U.S. Magistrate Judge is permitted only if all parties consent. Indicate below if you consent to the assignment or if you refuse to consent: G Consent ___________________________________ Party(s) ___________________________________ Signature Date G Refuse ___________________________________ Party(s) ___________________________________ Signature Date If you are a pro se litigant, return this form to the Clerk's Office no later than 21 days after entry of the Order setting the Rule 16 Initial Scheduling Conference. If you are an attorney/e-filer, please visit our Web site at www.nmcourt.fed.us for e-filing instructions. If consent by each party is not timely received, the matter will be reassigned to a district judge who will serve as the presiding judge. DNM (Rev. 12/2010) Consent/Refusal to MJ American LegalNet, Inc. www.FormsWorkFlow.com