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IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF KANSAS
_________________________________) ) Plaintiff(s), ) ) vs. ) ) ________________________________ ) ________________________________ ) ) Defendant(s). )
Case No. _________________________
MOTION FOR APPOINTMENT OF COUNSEL I, _________________________________, ask the court to appoint a lawyer to represent me in this case. I understand that the court may appoint lawyers in some cases, but that there is no constitutional right to having an appointed lawyer. I understand that the court will consider the information I am providing to decide whether justice requires the appointment of a lawyer in this case. I understand that before the court will consider appointing a lawyer for me, I must contact the Lawyer Referral Service, 200 N. Broadway, Suite 500, Wichita, Kansas 67202, 1-800-928-3111, to get names of lawyers in the Kansas City area (both Missouri and Kansas attorneys) who handle cases like this case. I have made a good effort to find a lawyer to represent me. I have contacted the following lawyers, but that I have been unable to obtain their services: (1) ________________________________________________________________ (2) ________________________________________________________________
(3) ________________________________________________________________ (4) ________________________________________________________________ (5) ________________________________________________________________ (6) ________________________________________________________________ I understand that I am required to establish that I am financially unable to retain my own counsel. I have already completed and filed an Affidavit of Financial Status. Yes _____ OR I have completed and am now filing an Affidavit of Financial Status with this motion. Yes _____ No _____ No _____
I understand that any false statements in this motion will subject me to penalties of perjury. ______________________________________ Signature of Plaintiff ______________________________________ Name (print or type) ______________________________________ Address ______________________________________ City State Zip Code _____________________________________ Telephone Number
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CERTIFICATE OF SERVICE BY MAIL
I, ________________________________, state that I served the attached Motion for Appointment of Counsel on [list the name and address of the attorney(s) for defendant(s), or the name and address of the defendant(s), if unrepresented]
by depositing a true and correct copy of this motion in the U.S. Mail, postage prepaid on this ____ day of _______________, 20___.
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