CONSENT/DECLINATION to Proceed Before a US Magistrate Judge by… — United States v. Visa Inc. and Plaid Inc. (Dkt. 13)

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U.S. District Court for the Northern District of California · No. 4:20-cv-07810-KAW · Doc. 13 · 2020-11-10 · Docket on CourtListener

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UNITED STATES DISTRICT COURT 
NORTHERN DISTRICT OF CALIFORNIA 
 
 
Plaintiff(s), 
v. 
 
 
Defendant(s). 
Case No.   
 
 
CONSENT OR DECLINATION  
TO MAGISTRATE JUDGE 
JURISDICTION 
 
 
INSTRUCTIONS: Please indicate below by checking one of the two boxes whether you (if you 
are the party) or the party you represent (if you are an attorney in the case) choose(s) to consent 
or decline to magistrate judge jurisdiction in this matter. Sign this form below your selection. 
 
☐ CONSENT to Magistrate Judge Jurisdiction 
 
In accordance with the provisions of 28 U.S.C. § 636(c), I voluntarily consent to have a 
United States magistrate judge conduct all further proceedings in this case, including trial and 
entry of final judgment. I understand that appeal from the judgment shall be taken directly to the 
United States Court of Appeals for the Ninth Circuit. 
 
OR 
 
☐ DECLINE Magistrate Judge Jurisdiction 
 
In accordance with the provisions of 28 U.S.C. § 636(c), I decline to have a United States 
magistrate judge conduct all further proceedings in this case and I hereby request that this case be 
reassigned to a United States district judge. 
 
DATE: _______________, 20____ 
NAME:  
 
 
  
 
 
 
Signature 
 
 
COUNSEL FOR 
(OR “PRO SE”):  
 
 
United States
Visa Inc. and Plaid Inc.,
4:20-cv-07810-KAW

November 10
20
Meagan K. Bellshaw
/s/ Meagan K. Bellshaw
United States 
Case 4:20-cv-07810-KAW   Document 13   Filed 11/10/20   Page 1 of 1

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