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UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUITForm 24. Motion for Appointment of CounselInstructions for this form: http://www.ca9.uscourts.gov/forms/form24instructions.pdf 9th Cir. Case Number(s) Case Name Lower Court or Agency Case Number1. My name is2.I am asking the court to appoint an attorney to help me with this case.3.My fee status is as follows (select one): The district court or this court granted my motion to proceed in forma pauperis. I filed a motion to proceed in forma pauperis but the court has not yet ruled on the motion. This motion is accompanied by a motion to proceed in forma pauperis. I paid the filing fees for this case. However, I cannot afford an attorney for the following reasons: 4.Is this a civil appeal or petition for review? Yes NoIf yes, attach an additional page(s) describing the issues on appeal. My current mailing address City State Zip Code Prisoner Inmate or A Number (if applicable) Signature DateFeedback or questions about this form? Email us at forms@ca9.uscourts.gov Form 24Rev. 12/01/2018 American LegalNet, Inc. www.FormsWorkFlow.com