Professional Documents
Culture Documents
of California
123 W. 4th Street
Sacramento, CA 95803
re: Case#12-3456
Dated:__________________
i, a man hereby withdraws any and all appearances in the representative capacity as agent for
the business organization known as “JOHN HENRY DOE/John Henry Doe”—subject to my
receipt of your written, verifiable claim and proof of claim to the contrary—all within three days.