R.I. Bankr. Form T.1 See R.I. LBR 9010-1 (Revised 12/1/09) UNITED STATES BANKRUPTCY COURT FOR THE DISTRICT OF RHODE ISLAND - - - - - - - - - - - - - - - - - - - - - - - - - - - - -* In re: : : : Debtor(s) : ---------------------------- * BK No. Chapter ATTORNEY CERTIFICATION IN SUPPORT OF MOTION FOR ADMISSION PRO HAC VICE 1. I, ___________________________________________, certify that I am a member in good standing of the bar of the state(s) of following federal district court bar(s) and of the , without any restriction on my eligibility to practice, and that I understand my obligation to notify this Court immediately of any change respecting my status in this respect. 2. I have never been disciplined or sanctions by any court or other body having disciplinary authority over attorneys; there are no disciplinary proceedings pending against me at this time; and I have never had my pro hac vice status revoked by any court. (If applicant has been sanctioned, disciplined or had any pro hac vice status revoked, please provide a full explanation.) 3. I have never been convicted of any crime other than minor traffic offenses. (If applicant has been convicted, please provide full explanation.) 4. I am currently admitted, and/or within the preceding 12 months have applied to be admitted, in the following bankruptcy and/or adversary proceeding cases in this district: American LegalNet, Inc. www.FormsWorkFlow.com . 5. I have read, acknowledge, and agree to observe and to be bound by the local rules and orders of this Court, including the Rules of Professional Conduct of the Rhode Island Supreme Court, as adopted by this Court as the standard of conduct for all attorneys appearing before it. 6. For purposes of this case: I have associated with local associate counsel identified below, and have read, acknowledge, and will observe the requirements of this Court respecting the participation of local associate counsel, as set out in LBR 9010-1 and Local Rule 204 of the U.S. District Court, recognizing that failure to do so may result in my being disqualified, either upon the Court’s motion or motion of other parties in the case. - OR Pursuant to LBR 9010-1(c), local counsel is not required at this time as the matter is not contested. Counsel further understands and agrees that if the matter becomes contested, then local counsel will enter an appearance at least seven days before the scheduled hearing or the granting of within motion for permission to appear pro hac vice may be revoked. Date: By: _______________________________________ Attorney applying for Pro Hac Vice admission ________________________________ Firm name and address ________________________________ ________________________________ _________________ _______________ American LegalNet, Inc. www.FormsWorkFlow.com Tel # Fax # LOCAL COUNSEL CERTIFICATION I certify that I have read and join in the foregoing motion, and acknowledge and agree to observe the requirements of LBR 9010-1 and Local Rule 204 of the U.S. District Court in their entirety and as they relate to the participation and responsibilities of local associate counsel. Name and Signature of Local Associate Counsel R.I. Bar ID# Firm Name Tel # Fax # Business Address American LegalNet, Inc. www.FormsWorkFlow.com American LegalNet, Inc. www.FormsWorkFlow.com