Free Application for Admission to Practice Pro Hac Vice - North Carolina

THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF NORTH CAROLINA

___________________________________ ) ) vs. ) ) ___________________________________ )

Case No. _________________

APPLICATION FOR ADMISSION TO PRACTICE PRO HAC VICE

I, ___________________________________, am a member in good standing of the bar of this Court. Pursuant to the admission requirements in Local Rule 83.1B I am moving for the pro hac vice admission of:
FULL NAME: _______________________________________________________________________ BUSINESS ADDRESS (include firm name):_________________________________________________
____________________________________________________________________________________________

CITY: ____________________________ STATE: _______________________ ZIP: ____________ OFFICE TELEPHONE: (_____)___________________ FAX NUMBER: (_____)________________ E-MAIL ADDRESS (required): ________________________________________________________________

We certify that: · · · The proposed admittee is not a member of the North Carolina bar and does not maintain any law office in North Carolina. The proposed admittee has never had a pro hac vice admission or admission in any other bar revoked. The proposed admittee is a member in good standing of the bars of either the

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United States Court in: _________________________________________________________, and/or the highest court of the State of _________________________________________________________, and/or the District of Columbia Bar. The proposed admittee understands admission pro hac vice is for this case only and does not constitute formal admission to the bar of this Court. The proposed admittee has established or will upon his/her pro hac vice admission proceed to immediately establish an ECF account with the Western District of N.C. The undersigned movant will serve as co-counsel in these proceedings and will attend all hearings with the proposed admittee unless otherwise permitted by the Court. The $250.00 fee for admission pro hac vice is being submitted with the filing of this motion.

Respectfully submitted,
__________________________________________________

Signature: __________________________________________________ Printed Name __________________________________________________ Firm __________________________________________________ Street Address __________________________________________________ City, State, Zip __________________________________________________ Telephone Number __________________________________________________ Fax Number __________________________________________________ E-Mail Address