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UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF INDIANA [INSERT] DIVISION

, Plaintiff(s), v. , Defendant(s).

) ) ) ) ) ) ) ) ) )

Cause No.

MOTION TO APPEAR PRO HAC VICE Pursuant to S. D. Ind. Local Rule 83.5(c), the undersigned counsel, [name of applicant] of [name of law firm], respectfully moves the Court for an order granting admission pro hac vice for the purpose of appearing as counsel on behalf of [name of party being represented] in the above-styled cause only. In support of this motion, the undersigned states: 1. I am admitted to practice in [select as applicable: the United States District Court for the _____ District of _____, the Court of Appeals for the _____ Circuit, the United States Supreme Court, and/or the highest Court of the State of _____ ] and was admitted on [date of admission]. 2. I am not currently under suspension or subject to other disciplinary action with respect to the practice of law. 3. I certify that I will abide by the Seventh Circuit Standards of Professional Conduct. 4. The undersigned has presented a check in the amount of Thirty Dollars ($30.00) in payment of the administrative fees required to process this motion for admission pro hac vice.

WHEREFORE, the undersigned counsel respectfully requests this Court enter an order of admission pro hac vice for purposes of this cause only. Dated:

Respectfully submitted,

[Applicant name] [Address] [Telephone number] [Facsimile number] [E-mail address]

CERTIFICATE OF SERVICE This is to certify that a copy of the foregoing has been filed with the Clerk of Court on [date] using the CM/ECF system which sent notification of this filing to the following: [list counsel of record by name, firm, and email address (or postal address if attorney is not registered for electronic filing)]

_____________________ [name of filing attorney] [Name of firm] [Address] [Telephone number] [Facsimile number]

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF INDIANA [INSERT] DIVISION

, Plaintiff(s), v. , Defendant(s).

) ) ) ) ) ) ) ) ) )

Cause No.

ORDER GRANTING MOTION TO APPEAR PRO HAC VICE This cause has come before the Court upon the motion of [name of attorney requesting admittance], counsel for [name of party represented], for leave to appear and participate pro hac vice in the above-captioned cause only. Being fully advised, it is now ORDERED that the motion be, and hereby is GRANTED.

Dated: ____________

________________________ [Name of Judge] United States District Court Southern District of Indiana

Copies to: [all counsel of record, identified by name, firm and e-mail address]