UNITED STATES BANKRUPTCY COURT DISTRICT OF MAINE ******************************* In re: * * * * * Debtor(s) * ******************************* Chapter Case No. CERTIFICATION FOR ADMISSION PRO HAC VICE I hereby request admission to the Bar of this Court Pro Hac Vice, in support of which I swear under penalty of perjury that the answers to the following questions are complete, true and correct: 1. Full Name: 2. State Bar Membership numbers: 3. Business address, telephone and fax numbers 4. List all state and federal courts or bar associations in which you are a member in good standing to practice law: 5. Name, address and telephone number of associated local counsel: American LegalNet, Inc. www.FormsWorkFlow.com 6. Have you been denied admission, disbarred, suspended from practice, reprimanded, denied “in good standing” status, or otherwise disciplined by any court, bar association, grievance committee or administrative body? 7. YES NO Have any proceedings, which could lead to any such disciplinary actions as described in question 6, been instituted against you in any such bodies? (You must attach a separate sheet with detailed explanations of Yes answers to Questions 6 or 7.) 8. YES NO Are you familiar with the Federal Rules of Evidence, the Federal Rules of Civil or Criminal Procedure (as applicable to this case) and the local rules of this Court? YES NO Dated: Applicant Dated: Local Counsel American LegalNet, Inc. www.FormsWorkFlow.com