Consent Of Designated Local Counsel

UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF GEORGIA 2211 United States Courthouse, 75 Ted Turner Drive, S.W. Atlanta, Georgia 30303-3361 404-215-1600 __________________________________ Plaintiff v. ___________________________________ Defendant. ) ) ) ) ) ) ) CASE NO.: _____________________________________ Appearing on behalf of: ________________________ ________________________________________________ (Plaintiff/Defendant) CONSENT OF DESIGNATED LOCAL COUNSEL I, __________________________________________, designated local counsel for the subject case, agree to readily communicate with opposing counsel and the Court regarding the conduct of this case and accept papers when served and recognize my responsibility and full authority to act for and on behalf of the client in all proceedings related to this case, including hearings, pretrial conferences and trials, should the Petitioner fail to respond to any Court order for appearance or otherwise. This __________ day of _______________________________, 20____. _______________________ _________________________________________________________ Georgia Bar Number Signature of Local Counsel _______________________ ___________________________________________________ (Law Firm) Business Telephone ______________________________________________________ (Business Address) ______________________________________________________ (City, State, Zip) ______________________________________________________ (Mailing Address) American LegalNet, Inc. www.FormsWorkFlow.com