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Case No. _____________________

______________________________________

v.

______________________________________

To: Clerk of the Court

United States Court of Appeals 219 S. Dearborn Street

Chicago, Illinois 60604

I have been informed of my attorney's intention to move to dismiss my appeal.

I concur in my attorney's decision and hereby waive all rights to object or raise any points on appeal.

_____________________________

(Name)

______________________________

(Street Address or Prison Box)

______________________________

(City, State, Zip Code)