§ Form 1.20 Signature and Date by A Party Not Represented by an Attorney

Form 1.20 Signature and Date by A Party Not Represented by an Attorney

    For instructions, see Section 1

    Dated this _______ day of _______, 19__.

    Defendant S/________________________________________________________________________________

                                                                                                                             Ralph Relph 123 Avenue “A” Augusta, Me. 04122
                                                                                                                                                                                             (207) 432-1234