Application For Certification As Lead Counsel For Death Penalty Defense {SCACRRule421}

THE STATE OF SOUTH CAROLINA In the Supreme Court APPLICATION FOR CERTIFICATION AS LEAD COUNSEL FOR DEATH PENALTY DEFENSE Name: ____________________________________________________________________________ Address: __________________________________________________________________________ South Carolina Bar Number: ___________________________________________________________ I certify that I have been a licensed attorney for five years and have three years experience in the actual trial of felony cases. _________________________ _______________________________________ Date Signature Sworn to and subscribed before me this ________ day of _________________________, 20____. _____________________________________ _ Notary Public for: _______________________ My Commission Expires: _______________ ___ G Approved G Disapproved ___________________________________ Daniel E. Shearouse, Clerk Date: _______________________ American LegalNet, Inc. www.USCourtForms.com