22 December 2020

ATTENTION:
Clerk of the Office
Office of Administrative Courts

Re:
Sxxxxxxx
Case Number: 1xxxxx
Correspondence ID: xxxxxx

Dear Clerk of the Office:

I, xxxxxxxxx, respectfully request to withdraw the appeal regarding my State TANF
benefits. This issue regarding the above-mentioned case number and correspondence ID has been
resolved. To my knowledge, this matter is not currently scheduled for a Hearing before the
Judge. In the event that a hearing has been scheduled, I have enclosed a Motion to Withdraw
Appeal. A copy of this communication and Motion has been sent to xxxxxxx Human Services
and the Child Support Division.

Thank you for your time,

xxxxxxx

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