American LegalNet, Inc. www.FormsWorkFlow.com Party Represented: I, , hereby petition the above-entitled court to permit me to appear(Applicant)and participate in this case/adversary proceeding and in support of petition state:My firm name: Street address: City, State, ZIP: Phone number: My State Bar Membership Number is That on , I was admitted to practice before (Date)(Name of Court)and am currently in good standing and eligible to practice in said court,that I am not currently suspended or disbarred in any other court,that I [ ] have [ ] have not concurrently or within the year preceding this application made any pro hac vice application to this court.(If previous application made, complete the following)Title of Case: Case Number: Date of Application: Application[ ] granted[ ] deniedI declare under penalty of perjury that the foregoing is true and correct.Dated: Signature of ApplicantDESIGNATION OF LOCAL COUNSEL I hereby designate the below named as associate local counsel.Name: Firm: Address: City, State & ZIP Code: State Bar Membership No.: Phone No.: Dated: Signature of ApplicantI hereby consent to the above designation.Dated: Signature of Designee Attorney American LegalNet, Inc. www.FormsWorkFlow.com Received $206.00 for Court Library fee , Deputy ClerkPRO HAC VICE (for this one particular occasion)An attorney who is not a member of the California State Bar, but who is a member in good standing of, and eligible topractice before, the bar of any United States Court or of the highest court of any State or of any Territory or Insularpossession of the United States, who is of good moral character, and who has been retained to appear in this Court, bepermitted to appear and participate in a particular case. An attorney is not eligible to practice pursuant to this paragraph ifany one or more of the following apply to him/her: (1) he/she resides in California, (2) he/she is regularly employed inCalifornia, or (3) he/she is regularly engaged in business, professional, or other activities in California.The pro hac vice application shall be presented to the Clerk and shall state under penalty of perjury (1) the attorney'sresidence and office address, (2) by what court he/she has been admitted to practice and the date of admission; (3) thathe/she is in good standing and eligible to practice in said court; (4) that he/she is not currently suspended or disbarred inany other court; and (5) if he/she has concurrently or within the year preceding his/her current application the attorneymade any pro hac vice application to this court, the title and the number of each matter wherein he/she made application,the date of application, and whether or not his/her application was granted. He/She shall also designate in his/herapplication a member of the bar of this Court with whom the Court and opposing counsel may readily communicateregarding the conduct of the case and upon whom papers shall be served. He/She shall file with such application theaddress, telephone number, and written consent of each designee.Fee:$206.00, Library fee, payable to Clerk, United States District CourtPlease complete and return the library card with this application.Application, fee and library card should be mailed directly to: Barry K. Lander, ClerkUnited States Bankruptcy Court325 West F StreetSan Diego, California 92101-6991 American LegalNet, Inc. www.FormsWorkFlow.com UNITED STATES DISTRICT COURTSOUTHERN DISTRICT OF CALIFORNIAPRO HAC VICEAPPLICANT (Please print)STATE BAR # STATE FIRM NAME (Mailing address) COURT USE ONLYFEES PAID (Telephone)(Date)(Amount) (Signature)(Initials) American LegalNet, Inc. www.FormsWorkFlow.com