Free Pro Hac Vice Admission Form - Idaho

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Form: Pro Hac Vice

v.

IN THE UNITED STATES DISTRICT/BANKRUPTCY COURTS FOR THE DISTRICT OF IDAHO ) ) Case No. ) ) APPLICATION FOR ADMISSION ) PRO HAC VICE ) ) ) Fee: $200.00 Pursuant to Local Rule 83.4(e) of the United States District Court for the District of Idaho, , hereby applies for admission pro hac vice to appear and participate

in this case on behalf of The applicant hereby attests as follows: 1. Applicant resides in address and phone number

.

, and practices at the following

2. Applicant has been admitted to practice before the following courts on the following dates: Courts: Dates:

3. Applicant is in good standing and eligible to practice in said courts. 4. Applicant is not currently suspended or disbarred in any other courts. 5. , a member in good standing of the bar of this court, of the firm of , practices at the following office address and phone number:

and is hereby designated as co-counsel with authority to act as attorney of record for all purposes. Said designee hereby consents to this designation by signing this application. Dated this day of , .

Applicant

Designee