Free Statement of Visiting Attorney and Designation of Local Counsel (LR Civ P 83.6 or LR Cr P 44.6) - West Virginia

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USDC/ATTY-001 (Rev. 07/06) | LR Civ P 83.6 or LR Cr P 44.6 Statement of Visiting Attorney and Designation of Local Counsel

UNITED STATES DISTRICT COURT
SOUTHERN DISTRICT OF WEST VIRGINIA
AT SELECT ONE:

STATEMENT OF VISITING ATTORNEY AND DESIGNATION OF LOCAL COUNSEL
V.
Select: CASE

NUMBER

Name of Visiting Attorney and firm name

Select: ____________________________ Bar ID number

Name of party represented

____________________________________________________________________________________________ Name and address of the Bar(s) of which the Visiting Attorney is a member in good standing

____________________________________________________________________________________________ Visiting Attorney's office address _______________________________________ ______________________ Visiting Attorney's office telephone number Office fax number ____________________________ Email address

WV
Name of Sponsoring Attorney and firm name WV Bar ID number

____________________________________________________________________________________________ Sponsoring Attorney's office address _______________________________________ ______________________ Sponsoring Attorney's office telephone number Office fax number ____________________________ Email address

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USDC/ATTY-001 (Rev. 07/06) | LR Civ P 83.6 or LR Cr P 44.6 Statement of Visiting Attorney and Designation of Local Counsel

VISITING ATTORNEY'S CERTIFICATION I hereby certify that I am a member in good standing of the Bar(s) listed in the Statement of Visiting Attorney. I further certify that I have paid the West Virginia State Bar its prescribed pro hac vice fee for this case, and complied with the West Virginia State Bar's requirements for attorneys admitted pro hac vice.
___________________________ Date ___________________________________________ Signature of Visiting Attorney

SPONSORING ATTORNEY'S CERTIFICATION I hereby certify that I am admitted to practice before the Supreme Court of Appeals of West Virginia, I am a member in good standing of the West Virginia State Bar, and I am a member of the bar of this Court. I further certify that I have an office for the practice of law in West Virginia, and I practice law primarily in West Virginia. I agree that pleadings, notices, and other papers may be served on me in this case. I consent to being the Sponsoring Attorney for the above-named Visiting Attorney and I shall hereafter sign all papers that require the signature of an attorney.

__________________________ Date

__________________________________________ Signature of Sponsoring Attorney

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