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Revised on 10/25/2022 STATE OF MICHIGAN 87-A DISTRICT COURT 46TH JUDICIAL CIRCUIT REQUEST FOR SUBSTITUTION OF COURT APPOINTED COUNSEL CASE NO. Court Address Court Telephone no: ☐ DISTRICT: 800 Livingston Blvd., Suite 1C, Gaylord, MI 49735 (989) 731-0201 ☐ CIRCUIT: 225 West Main Street, Gaylord, MI 49735 (989) 731-7500 I am the defendant in the above referenced case, and I request a new court appointed attorney for the following reason(s): Dated: Defendant’s signature Counsel Administrator recommends the following: ☐ Defendant’s request is approved and referred to the Appointing Authority for reassignment. ☐ Defendant’s request is denied for the following reason(s): Defendant has the right to submit a written request to the Court for a judicial determination. Dated: William Paul Slough (P70489) Otsego County MIDC Counsel Administrator NOTICE OF REASSIGNMENT OF COURT APPOINTED ATTORNEY has been appointed to replace Reassigned Attorney Name Bar No. on the above referenced matter. Previous Attorney Name Bar No. Date: Gary L. Gelow (P33031) Otsego County MIDC Appointing Authority THE PEOPLE OF THE STATE OF MICHIGAN Defendant’s Name: