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1 Name of Attorney ____________________ 2 Bar Number_________________________ 3 City _______________________________ 4 State ______________________________ 5 Phone # ____________________________ 6 E-mail address _______________________ 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 1. 2. That Petitioner resides in _____________________, ____________________.
(City) (State)
UNITED STATES BANKRUPTCY COURT DISTRICT OF NEVADA ) ) ) ) ) ) ) ) ) ) ) ) ) Bankruptcy No. Chapter No. VERIFIED PETITION FOR PERMISSION TO PRACTICE IN THIS CASE ONLY BY ATTORNEY NOT ADMITTED TO THE BAR OF THIS COURT EFFECTIVE JUNE 1, 2004 FILING FEE IS $175.00
Plaintiff vs.
Defendant(s)
_________________________________, Petitioner, respectfully represents to the Court:
That Petitioner is an attorney at law and a member of the law firm of _____________
___________________________________________________________ with offices at _______________________________________________________________________________, ____________________________________, ____________, ______________________________. (city) (zip code) (area code + telephone number) 3. That Petitioner has been retained personally or as a member of the law firm by
(street address)
_______________________________________ to provide legal representation in connection with the above-entitled case now pending before this Court.
[client(s)]
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4.
That since _______________________, Petitioner has been and presently is a member
(date) (state)
in good standing of the bar of the highest Court of the State of _______________________________ where Petitioner regularly practices law. 5.
That Petitioner was admitted to practice before the following United States District
Courts, United States Circuit Courts of Appeal, the Supreme Court of the United States and Courts of other States on the dates indicated for each, and that Petitioner is presently a member in good standing of the bars of said Courts.
Date Admitted
_________________________________________ ______________________________________ _________________________________________ ______________________________________ _________________________________________ ______________________________________ _________________________________________ ______________________________________ _________________________________________ ______________________________________ _________________________________________ ______________________________________ _________________________________________ ______________________________________ _________________________________________ ______________________________________ _________________________________________ ______________________________________ _________________________________________ ______________________________________ _________________________________________ ______________________________________
6.
That there are or have been no disciplinary proceedings instituted against petitioner,
nor any suspension of any license, certificate or privilege to appear before any judicial, regulatory or administrative body, or any resignation or termination in order to avoid disciplinary or disbarment proceedings, except as described in detail below:
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7.
That Petitioner has never been denied admission to the State Bar of Nevada. (Give
particulars of ever denied admission):
8.
That Petitioner is a member of good standing in the following Bar Associations:
9.
Petitioner or any member of Petitioner's firm (or office if firm has offices in more than
one city) with which Petitioner is associated has/have filed application(s) to appear as counsel under Local Rule IA 10-2 during the past three (3) years in the following matters:
Date of Application Cause Title of Court Administrative Body or Arbitrator Was Application Granted or Denied
________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ (If necessary, please attach a statement of additional applications) 10. Petitioner consents to the jurisdiction of the courts and disciplinary boards of the State
of Nevada with respect to the law of this state governing the conduct of attorneys to the same extent as a member of the State Bar of Nevada. 11. Petitioner agrees to comply with the standards of professional conduct required of the
members of the bar of this court. 12. Petitioner has disclosed in writing to the client that the applicant is not admitted to
practice in this jurisdiction and that the client has consented to such representation. 3
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That Petitioner respectfully prays that Petitioner be admitted to practice before this Court FOR THE PURPOSES OF THIS CASE ONLY. DATED: STATE OF __________________ ) ) COUNTY OF _________________ ) _______________________, Petitioner, being first duly sworn, deposes and says: That the foregoing statements are true. ___________________________________________ (SEAL) Subscribed and sworn to before me this ________ day of ________________, ____________. ___________________________________________
Notary public Petitioner's Signature
___________________________________________
Petitioner's Signature
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