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Pages: 1
Date: July 19, 2007
File Format: PDF
State: California
Category: Court Forms - Federal
Word Count: 148 Words, 1,074 Characters
Page Size: Letter (8 1/2" x 11")
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http://www.cadc.uscourts.gov/internet/home.nsf/content/VL+-+Forms+-+Certificate+of+Good+Standing+Request+Form/$file/form49.pdf

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UNITED STATES COURT OF APPEALS
FOR THE D.C. CIRCUIT 333 Constitution Avenue, NW, Room 5523 Washington, DC 20001-2866 PHONE 202-216-7000 FAX 202-219-8530

Certificate of Good Standing Request Form

A certificate of good standing may be requested in writing by letter or submitting this completed form to the address above along with the certification fee of $15.00 each. Please make check payable to "Clerk, US Court of Appeals". Or you may request the certificate in person at the address above between the hours of 9:00 a.m. to 4:00 p.m. weekdays. Please provide the name of the attorney who wishes the certificate and the address to which the certificate is to be mailed.

Name: Address:

____________________________________ ____________________________________ ____________________________________ ____________________________________

Phone:

____________________________________

Date of Admittance: ______________________________

_____ I have enclosed a check/money order in the amount of $15.00. Check/Money Order No. ______

USCA Form 49 (12/21/2000) Rev. 7/2007