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Application For Leave To Appear Pro Hac Vice - Washington
| Application For Leave To Appear Pro Hac Vice Form. This is a Washington form and can be used in USBC Western Federal . |
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 I, Debtor In re: UNITED STATE BANKRUPTCY COURT WESTERN DISTRICT OF WASHINGTON No: APPLICATION FOR LEAVE TO APPEAR PRO HAC VICE Pursuant to Local Civil Rule 83.4(d) of the United States District Court for the Western District of Washington, hereby applies for permission to participate as counsel in the above-entitled bankruptcy action on behalf of the following party or parties: . The particular need for my appearance and participation is: . , understand that I am charged with knowing and complying with all applicable rules, including, but not limited to, Local Civil Rule 83.4 of the United States District Court for the Western District of Washington which requires that I associate with local counsel who shall sign all pleadings prior to filing, and the Local Bankruptcy Rules of the Western District of Washington ("LBR"), including LBR 5005-1 which governs electronic filing. I have not been disbarred or formally censured by a court of record or by a state bar association. There are no pending disciplinary proceedings against me. I am in good standing with the bar of the State of . With this application I will tender the pro hac vice fee of $150.00 to the Office of the Clerk of the Bankruptcy Court via electronic payment. I declare under penalty of perjury that the foregoing is true and correct. DATED: . Signature of Applicant Attorney American LegalNet, Inc. www.FormsWorkFlow.com 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 APPLICATION FOR LEAVE TO APPEAR PRO HAC VICE - page 2 Applicant's Name: Bar # _______________ Applicant's Law Firm: Applicant's Address: State: _______________________ Telephone No: STATEMENT OF LOCAL COUNSEL I am familiar with the responsibilities of local counsel as set forth in the Local Rules, W.D. Wash. LCR 83.4(d). I am authorized and will be prepared to handle this matter, including trial, in the event the applicant, , is unable to be present upon any date assigned by the court. If this application is filed electronically, I understand that the provisions of LBR 5005-1(d)(3) apply and that I am required to retain documentation evidencing the signature of the applicant. DATED: . Signature of Local Counsel Local Counsel Name & WSBA Bar ID Number: Local Counsel Law Firm: Local Counsel Address: Telephone No: (Rev. Eff. Dec. 1, 2012) American LegalNet, Inc. www.FormsWorkFlow.com
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