STATE OF ______________  )
                         ) SS
COUNTY OF _____________  )


                    IN THE CIRCUIT COURT OF __________________ COUNTY
                             JUVENILE COURT DIVISION


In The Interest of:              )
                                 )
__________________,   AGE _____  )      CAUSE NO.____________ 
                                 )
                                 )
__________________,   AGE _____  )      CAUSE No.____________    
_________________________________)


                               NOTICE OF APPEARANCE

Now comes _____________________ enter her appearance as counsel in behalf of 

herself on this date ____/______, 2002.


They state for the record that because of the extreme financial hardship placed upon her by the Division of Family Services and the Juvenile Office, the hardship denies them to afford to be represented by counsel of their choosing at this time. 


PARENT OF CHILD IN ABOVE CAPTIONED MATTER

_____________________________ 
           (ADDRESS)

______________________________   ________________________ 
                        
         (CITY & STATE)                   (ZIP)


PH. # ( _____ ) - ______ - ________

 

CERTIFICATE OF SERVICE

A copy of the above and foregoing instrument was hand Delivered this day of _____/_____, 2002; to ___________________, Attorney for ________________ 

Division of Family Services; to _____________________, Attorney for the Minor 

children, and to _____________________, Deputy Juvenile Office.


_____________________________ 
(Signature)