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UNITED STATES BANKRUPTCY COURT WESTERN DISTRICT OF TEXAS DIVISION IN RE: Case No: Chapter MOTION A PRO HAC VICE TO THE HONORABLE JUDGE OF SAID COURT: Comes now (322Applicant323) moves this court to grant admission to the United States Bankruptcy Court for the Western District of Texas pro hac vice to represent in this case, and would respectfully show the Court as follows: 1.Applicant is an attorney and a member of the law firm (or practices under thename of),with offices at Mailing address: City, State, Zip: Telephone: Fax: Email Address: 2.Since , Applicant has been andpresently is a member of and in good standing with the Bar of the State of. American LegalNet, Inc. www.FormsWorkFlow.com 3.Applicant has been admitted to practice before the following state and federalcourts:Court:Admission date: 4.Applicant is presently a member in good standing of the bars of the courts listedabove, and is not currently suspended or disbarred in any other court, except asprovided below (list any court named in the preceding paragraph before whichApplicant is no longer admitted to practice): 5.Applicant has never been subject to grievance proceedings or involuntary removal!"#$%%&'()*+,-'.%+/+0%01%"+#2+3-%+1/"+#2+/(4+*3/3%+#"+2%&%"/.+$#5"36+%7$%!3/*+!"#8'&%&+1%.#,9 6.Applicant is eligible to practice in the Bankruptcy Court.7.Applicant has read and is familiar with the Local Rules of the Western District ofTexas Bankruptcy Court and is also subject to all rules of practice of the U.S. District Court of the Western District of Texas and will comply with the standards of practice set out therein. American LegalNet, Inc. www.FormsWorkFlow.com 8.Applicant has not requested admission pro hac vice in the BankruptcyCourt for the Western District of Texas in the preceding twelve months. or Applicant has filed the motions for admission pro hac vice in the preceding twelve months. Case Name/Number Date Filed Disposition of Motion Wherefore, Applicant prays that this Court enter an order permitting the admission of to the U.S. Bankruptcy Court Western District of Texas pro hac vice for this case only. Respectfully submitted, [Signature of Applicant] [Printed name of Applicant] [Address of Applicant] [Telephone of Applicant] [Email address of Applicant] American LegalNet, Inc. www.FormsWorkFlow.com CERTIFICATE OF SERVICE I hereby certify that I have served a true and correct copy of this motion upon each attorney of record and the original upon the Clerk of Court on this the Day of , . [Signature of Applicant] [Printed name of Applicant] [Address of Applicant] [Telephone of Applicant] [Email address of Applicant] American LegalNet, Inc. www.FormsWorkFlow.com