DO NOT SEND PAYMENT WITH YOUR PETITION! ONCE ADMITTED, YOU MUST PAY FEES BY CREDIT CARD VIA CM/ECF. UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF GEORGIA PETITION FOR ADMISSION TO PLEAD AND PRACTICE The Petition of _______________________________ respectfully shows that petitioner has been admitted to the Superior Courts as an attorney, Solicitor, and Counselor at Law for the State of Georgia and is now a member in good standing of the State Bar of Georgia, as evidenced by State Bar Number ______________________. Wherefore, the petitioner, after taking the below Oath of Admission, prays that he/she is admitted as an Attorney Solicitor and Proctor to plead and practice in the United States District Court for the Middle District of Georgia. OATH ON ADMISSION I, ______________________________________, do solemnly swear, that as an attorney and as a counselor of this Court, I will conduct myself uprightly and according to law, and that I will support the Constitution of the United States of America. I further affirm that I have read the Standards of Conduct set forth in the Preamble to this district's Local Rules, and I will strive to comply with these standards in my practice before this Court. ELECTRONIC FILING: * Upon admission to plead, I understand that I will be registered to file electronically in the Middle District of Georgia. The password issued by the court combined with the login serves as and constitutes a legal signature. Registration as a user constitutes (a) consent to receive notice electronically where notice is required by statute or rule and waiver of notice by any other means; and (b) consent to electronic service and waiver of service by any other means, except for original process. DATE: __________________________ __________________________________________ FULL SIGNATURE OF PETITIONER __________________________________________ LAW FIRM ADDRESS (Street or P.O. Box) __________________________________________ CITY, STATE & ZIP CODE TELEPHONE # __________________________________________ EMAIL ADDRESS (Required) =============================================================================================== ORDER IT IS ORDERED that Petitioner is hereby admitted to plead and practice as Attorney, Solicitor, Counselor, and Proctor. DATE: __________________________ _______________________________________________ DAVID W. BUNT CLERK, U. S. DISTRICT COURT MIDDLE DISTRICT OF GEORGIA American LegalNet, Inc. www.FormsWorkFlow.com