UNITED STATES DISTRICT COURT WESTERN DISTRICT OF NEW YORK IN THE MATTER OF THE APPLICATION OF _____________________________________________ (Name) SPONSORING AFFIDAVIT TO BE ADMITTED TO PRACTICE AS AN ATTORNEY STATE OF NEW YORK COUNTY OF ) ) ss: ) _____________________________________________________, being duly sworn deposes and says: 1. I reside at: _________________________________________________________________________________________ and maintain an office for the practice of law at:______________________________________________________________ __________________________________________________________________________________________________ 2. I am an attorney at law, admitted to practice in the___________________________________________________________ ______________________________________________, I was admitted to practice in the United States District Court for the Western District of New York on the __________ day of ________________________, _________. 3. I have known the petitioner since _______________________________________________ and under the following circumstances: __________________________________________________________________________________________________ __________________________________________________________________________________________________ 4. I know the following about the petitioner's moral character and fitness to be admitted to practice in this Court: ____________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________ Signature of Sponsoring Attorney Sworn to before me this ____ day of ______________, ________ _________________________________________ Notary Public NYW 11, rev. 2000 American LegalNet, Inc. www.USCourtForms.com