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I will provide notice to my attorney.", "marker": "b.", "children": [ { "id": "p1.5.6.1", "order": 33, "type": "form_field", "bbox": { "l": 84.0806, "t": 432.24, "r": 100.22, "b": 414.612 }, "text": "", "attrs": { "field_kind": "checkbox", "label": "b. □ ___________________________________________________________ is my attorney of record and I want to", "pdf_field_name": "Check Box10(EOAForm)", "source": "acroform" } } ] }, { "id": "p1.5.7", "order": 34, "type": "list_item", "bbox": { "l": 68.16, "t": 387.6, "r": 562.08, "b": 338.16 }, "text": "I am entering my appearance as a self-represented party (sign)_____, and my attorney acknowledges his/her withdrawal as my attorney of record in this case. (Attorney signature)", "marker": "c.", "children": [ { "id": "p1.5.7.1", "order": 35, "type": "form_field", "bbox": { "l": 85.5687, "t": 392.059, "r": 102.824, "b": 375.548 }, "text": "", "attrs": { "field_kind": "checkbox", "label": "c. □ I am entering my appearance as a self-represented party (sign) _________________________________________,", "pdf_field_name": "Check Box11(EOAForm)", "source": "acroform" } } ] }, { "id": "p1.5.8", "order": 36, "type": "list_item", "bbox": { "l": 33.12, "t": 329.52, "r": 569.52, "b": 270.24 }, "text": "NOTE: You must provide the Court with an address where you agree that pleadings and other legal papers may be served, and a telephone number through which you may be contacted. The address and phone number that you provide need not be your home address and phone number. 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I understand that I must file this form in the Prothonotary’s Office and that I must file a new form every time my address or telephone number changes. 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