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If certiorari appeal, date of trial court's denial to withdraw plea ______. Entry of appearance - Out-of-state counsel - Withdrawal - Address of record.District Court, P.O. Box 1097, Tahlequah, Oklahoma 74465. The judge will then have you fill out an application, called an: "Application for Appointed Counsel," "Form 13. 3" or a "Pauper's Affidavit. 24) See also Rule 1.