UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF CALIFORNIA PETITION FOR ADMISSION TO PRACTICE PRO HAC VICE I, , attorney for (plaintiff)(defendant), in case number , hereby petition for admission to practice under the provisions of Rule 180 (2) of the Local Rules of Practice of the United States District Court for this district, and in support thereof, state, under penalty of perjury , that: My residence address is: My business address is: Telephone: I was admitted to practice: (Indicate court/state admitted to practice.) (Indicate date of admission.) I am presently in good standing and eligible to practice in said court. I am not currently suspended or disbarred in any other court. I have/have not concurrently or within the year preceding this application made a pro hac vic application to this court. (List below the title and case number of each matter wherein application was made, the date of the application, and whether it was granted or denied. EDC 2-600 (10/97) 2001 © American LegalNet, Inc. I hereby designate the following member of the Bar of this court with whom the court and opposing counsel may readily communicate regarding the conduct of the case and upon whom papers shall be served: DATED: Petitioner I hereby consent to my designation as counsel with whom the court and opposing counsel may readily communicate regarding the conduct of the case and upon whom papers shall be served. DATED: Designee (Address) ORDER PETITION IS HEREBY ( ) GRANTED ( ) DENIED DATED: United States Bankruptcy Judge EDC 2-600 (10/97) 2001 © American LegalNet, Inc.