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: _______________________