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`UNITED STATES DISTRICT COURT
`WESTERN DISTRICT OF TEXAS
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`vs.
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`Case No.:
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`MOTION FOR ADMISSION PRO HAC VICE
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`TO THE HONORABLE JUDGE OF SAID COURT:
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`Comes now , applicant herein, and
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`moves this Court to grant admission to the United States District Court for the Western District of
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`Texas pro hac vice to represent in this case, and
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`would respectfully show the Court as follows:
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`1.
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`Applicant is an attorney and a member of the law firm (or practices under the name of)
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` with offices at:
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`Mailing address:
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`City, State, Zip Code:
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`Telephone:
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`Facsimile:
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`2.
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`Since , Applicant has been and presently is a
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`member of and in good standing with the Bar of the State of .
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`Applicant's bar license number is .
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`3.
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`Applicant has been admitted to practice before the following courts:
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`Court:
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`Admission date:
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`
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`
`
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`Case 6:20-cv-00272-ADA Document 67 Filed 03/25/22 Page 2 of 4
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`4.
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`Applicant is presently a member in good standing of the bars of the courts listed above,
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`except as provided below (list any court named in the preceding paragraph before which
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`Applicant is no longer admitted to practice):
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`5.
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`I have have not previously applied to Appear Pro Hac Vice in this district
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`court in Case[s]:
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`Number: on the day of , .
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`Number: on the day of , .
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`Number: on the day of , .
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`6.
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`Applicant has never been subject to grievance proceedings or involuntary removal
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`proceedings while a member of the bar of any state or federal court, except as
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`provided:
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`7.
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`Applicant has not been charged, arrested, or convicted of a criminal offense or offenses,
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`except as provided below (omit minor traffic offenses):
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`8.
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`Applicant has read and is familiar with the Local Rules of the Western District of Texas
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`and will comply with the standards of practice set out therein.
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`
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`Case 6:20-cv-00272-ADA Document 67 Filed 03/25/22 Page 3 of 4
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`9.
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`Applicant will file an Application for Admission to Practice before the United States
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`District Court for the Western District of Texas, if so requested; or Applicant has
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`co-counsel in this case who is admitted to practice before the United States District
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`Court for the Western District of Texas.
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`Co-counsel:
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`Mailing address:
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`City, State, Zip Code:
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`Telephone:
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`Should the Court grant applicant's motion, Applicant shall tender the amount of $(cid:20)(cid:19)(cid:19).00 pro hac
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`vice fee in compliance with Local Court Rule AT-l(f)(2) [checks made payable to: Clerk, U.S. District
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`Court].
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`Wherefore, Applicant prays that this Court enter an order permitting the admission of
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`to the Western District of Texas pro hac vice for this case only.
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`Respectfully submitted,
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`[printed name of Applicant]
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`[signature of Applicant]
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`CERTIFICATE OF SERVICE
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`I hereby certify that I have served a true and correct copy of this motion upon each attorney of
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`record and the original upon the Clerk of Court on this the day of , .
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`[printed name of Applicant]
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`[signature of Applicant]
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`
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`Case 6:20-cv-00272-ADA Document 67 Filed 03/25/22 Page 4 of 4
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` UNITED STATES DISTRICT COURT
`WESTERN DISTRICT OF TEXAS
`
`vs.
`
`Case No.:
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`ORDER
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`BE IT REMEMBERED on this day, there was presented to the Court the Motion for
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`Admission Pro Hac Vice filed by
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`, counsel for
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`, and the Court, having reviewed the motion, enters
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`the following order:
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`IT IS ORDERED that the Motion for Admission Pro Hac Vice is GRANTED, and
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`may appear on behalf of
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` in the above case.
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`IT IS FURTHER ORDERED that , if he/she
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`has not already done so, shall immediately tender the amount of $100.00, made payable to: Clerk, U.S.
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`District Court, in compliance with Local Court Rule AT-l(f)(2).
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`SIGNED this the day of , 20 .
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`
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