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Attorney Admissions Application Packet (Pro Hac Vice) - Pennsylvania
| Attorney Admissions Application Packet (Pro Hac Vice) Form. This is a Pennsylvania form and can be used in USDC Eastern Federal . |
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APPENDIX X IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA : CIVIL ACTION : v. : : : NO. ORDER AND NOW, thisD ay of , , it ise hreby ORDERED that the application of , Esquire, to practice in thiscourt pursuant to Local Rule of Civil Procedure 83.5.2(b) is GRANTED. DENIED. J.<<<<<<<<<********>>>>>>>>>>>>> 2 IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA Civil Action No# APPLICATION FORM FOR THOSE ATTORNEYS SEEKING TO PRACTICE IN THIS COURT PURSUANT TO LOCAL RULE OF CIVIL PROCEDURE 83.5.2(b) I. APPLICANTS STATEMENT I, the undersigned, am an attorney who is not currently admitted toeither the bar of this court or the bar of the Supreme Court of Pennsylvania, and I hereby apply for admission to practice in this courtpursuant to Local Rule of Civil Procedure 83.5.2(b), and am submitting a check, number , for the $40.00 admissionfee. A. I state that I am currently admitted to practice in the following state jurisdictions: (State where admitted) (Admission date) (Attorney Identification Number) (State where admitted) (Admission date) (Attorney Identification Number) (State where admitted) (Admission date) (Attorney Identification Number) B. I state that I am currently admitted to practice in the following federal jurisdictions: (Court where admitted) (Admission date) (Attorney Identification Number) (Court where admitted) (Admission date) (Attorney Identification Number) (Court where admitted) (Admission date) (Attorney Identification Number) C. I state that I am at present a member of the aforesaid bars in good standing, and that I will demean myself as an attorney of this court uprightly and according to law, and that I will support and defend the Constitution of the United States. I am entering my appearance for (Applicants Signature) (Date) APPLICANTS OFFICE ADDRESS AND TELEPHONE NUMBER: Sworn and subscribed before me this Day of , 200 Notary Public 10/04<<<<<<<<<********>>>>>>>>>>>>> 3II. SPONSORS STATEMENT, MOTION AND CERTIFICATE OF SERVICE The undersigned member of the bar of the United States District Court for the Eastern District of Pennsylvania hereby moves for the admission of topractice in said court pursuant to Local Rule of Civil Procedure 83.5.2(b), and certify that I know (or after reasonable inquiry believe) that the applicant is a member in good standing of the above- referenced state and federal courts and that the applicants private and personal character is good. I certify that this application form was on this date mailed, with postage prepaid, to all interested counsel. Sponsors Name Sponsors Signature Admission date Attorney Identification No. SPONSORS OFFICE ADDRESS AND TELEPHONE NUMBER: Sworn and subscribed before me this Day of , 200 Notary Public <<<<<<<<<********>>>>>>>>>>>>> 4 IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA : CIVIL ACTION : v. : : : NO. CERTIFICATE OF SERVICE I declare under penalty of perjury that a copy of the application of Esquire, to practice in this court pursuant to Local Rule of Civil Procedure 83.5.2(b) and the relevantproposed Order which, if granted, would permit such practice in this court was mailed today withpostage prepaid to: Signature of Attorney Name of Attorney Name of Moving Party Date
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