STATE OF MAINE
SUPERIOR COURT DISTRICT COURT
, ss. Location
Docket No. Docket No.
Plaintiff
v. WAIVER OF RIGHT TO OBJECT
AND
WAIVER OF APPEAL
Defendant
I waive my right to object to the Magistrate’s final order in this case.
I waive my right of appeal in this case.
Witness Plaintiff Date
Witness Defendant Date
FM-160, Rev. 09/05
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