UNITED STATES DISTRICT COURT WESTERN DISTRICT OF KENTUCKY IN RE: ADMISSION OF ATTORNEY TO PRACTICE-SPONSOR'S AFFIDAVIT AND MOTION SPONSOR'S AFFIDAVIT STATE OF________________________ COUNTY OF _______________________ _________________________________________, having been duly sworn, deposes and states as follows: That I was duly admitted to practice before the United States District Court for the Western District of Kentucky on ___________________, and am now a member in good standing of the Bar of said court. That this affidavit is submitted in support of the application of ________________________ for admission to the Bar of the United States District Court for the Western District of Kentucky. That I have read the said application and believe the statements therein to be true and correct. That I vouch for the good moral and professional character of the applicant and that the applicant has been admitted to practice before and is in good standing with the Supreme Court of Kentucky . In my opinion, the applicant is fully qualified to be admitted to practice before the United States District Court for the Western District of Kentucky. Dated at ________________________, this _____ day of _______________________, 19 _____. 20 ______________________________________ Signature ______________________________________ Name ______________________________________ Address Subscribed and sworn to before me this _______ day of __________________________, 19 ____. 20 Notary Public _____________________________ My Commission Expires: ____________________ American LegalNet, Inc. www.FormsWorkFlow.com