Free [PFP#1092135636] - Utah

Movant's Name and Utah State Bar Number Movant's Address Movant's Phone Number IN THE UNITED STATES DISTRICT COURT DISTRICT OF UTAH - CENTRAL DIVISION ______________________________________________________________________________ : : In re: Application of : MOTION FOR ADMISSION OF Applicant : NON-RESIDENT ATTORNEY : ______________________________________________________________________________ Movant, the undersigned, being an active member of the bar of this court, hereby moves this court for the admission of Applicant to the bar of the United States District Court for the District of Utah. Applicant has been an active member in good standing of the Utah State Bar since date. Motion must also state the reasons that the applicant is seeking nonresident admission to the court's bar. This motion is made pursuant to Rule 83-1.1(b)(2)(C) of the court's local rules of civil procedure, in that Applicant, is not currently a Utah resident, but resides in State. RESPECTFULLY SUBMITTED this ____ day of Month, Year.

By: ____________________________________________ Movant

Applicant's Name Applicant's Address Applicant's Phone Number IN THE UNITED STATES DISTRICT COURT DISTRICT OF UTAH - CENTRAL DIVISION ______________________________________________________________________________ : : In re: Application of : AFFIDAVIT Applicant's Name : : __________________________________________________________________________ Pursuant to Rule 83-1.1(b)(2)(C) of the Civil Rules of Practice for the U.S. District Court for the District of Utah, and as required by court order, Applicant Applicant's name submits the following affidavit: Upon being duly sworn upon oath, Applicant affirms that the following statement is true: On date oath administered, I appeared before United States District or Circuit Judge Judge's name of the United States District or Circuit Court for the Name of District or Circuit, in chambers or other location at the name and location of courthouse, and was administered the attorney oath for the U.S. District Court for the District of Utah pursuant to Rule 83-1.1(b)(2)(D) of the court's local civil rules of practice. FURTHER AFFIANCE SAYETH NAUGHT __________________________ Applicant SUBSCRIBED AND SWORN to before me this ____ day of Month, Year. ________________________________ Notary Public, State of State

My Commission Expires: ____________________

Applicant's Name Applicant's Address Applicant's Phone Number IN THE UNITED STATES DISTRICT COURT DISTRICT OF UTAH - CENTRAL DIVISION ______________________________________________________________________________ : : In re: Application of : ORDER Applicant's Name : : ______________________________________________________________________________ This matter is before the court on Sponsoring Attorney's Motion for Applicant's Admission to the United States District Court for the District of Utah. IT IS HEREBY ORDERED, that Applicant be admitted to the bar of the United States District Court for the District of Utah. IT IS FURTHER ORDERED that Applicant take the following oath before a judge of a U.S. District Court or U.S. Circuit Court as required by Rule 83-1.1(b)(2)(C) of the Civil Rules of Practice for the U.S. District Court of the District of Utah: I do solemnly swear (or affirm) that I will support, obey and defend the Constitution of the United States and the Constitution of the State of Utah; that I will discharge the duties of attorney and counselor at law as an officer of the courts of the State of Utah and the United States District Court of the District of Utah with honesty and fidelity; and that I will strictly observe the rules of professional conduct adopted by the United States District Court for the District of Utah.

Dated this ____ day of Month, Year.

__________________________ Chief U. S. District Judge

The United States District Court For The District Of Utah
UTAH STATE BAR ID:_____/_____/_____/_____

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MOTION FOR ADMISSION MADE BY: ADMISSION DATE: _____/_____/_____