UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK Plaintiff, -against- _____ Civ. __________ (_____) MOTION FOR ADMISSION PRO HAC VICE Defendant. Pursuant to Rule 1.3 of the Local Rules of the United States Courts for the Southern and Eastern Districts of New York, hereby move this Court for an Order for admission to practice Pro Hac Vice to appear as counsel for in the above-captioned action. I am in good standing of the bar(s) of the state(s) of there are no pending disciplinary proceedings against me in any state or federal court. I have and never been convicted of a felony. I have never been censured, suspended, disbarred or denied admission or readmission by any court. I have attached the affidavit pursuant to Local Rule 1.3. Dated: Respectfully Submitted, ________________________________________________ Applicant Signature:_______________________________ Applicant's Name:________________________________ Firm Name:______________________________________ Address:________________________________________ City/State/Zip:____________________________________ Telephone/Fax:___________________________________ Email:__________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com