1 Submitting Attorney (Utah State Bar No.) Address Telephone No. Facsimile No. (Optional) E-Mail Address (Recommended) Attorney for IN THE UNITED STATES BANKRUPTCY COURT FOR THE DISTRICT OF UTAH In re: Debtor(s). Bankruptcy No. Chapter Hon. MOTION FOR ADMISSION PRO HAC VICE AND CONSENT OF DESIGNATED ASSOCIATE LOCAL COUNSEL I, , hereby move the pro hac vice admission of applicant to practice in this Court. I hereby agree to serve as designated local counsel for the subject case; to readily communicate with opposing counsel and the Court regarding the conduct of this case; and to accept papers when served and recognize my responsibility and full authority to act for and on behalf of the client in all case-related proceedings, including hearings, pretrial conferences, and trials, should applicant fail to respond to any Court order. Dated: Signature of Local Counsel Utah Bar Number CERTIFICATE OF SERVICE (Attach Local Form 90132263) American LegalNet, Inc. www.FormsWorkFlow.com 1 APPLICATION FOR ADMISSION PRO HAC VICE Applicant, , hereby requests permission to appear pro hac vice in the subject case. Applicant states under penalty of perjury that he/she is a member in good standing of the bar of the highest court of a state or the District of Columbia; is a non-resident of the state of Utah or, (ii) a new resident who has applied foradmission to the Utah State Bar and will take the bar examination at the next scheduled date;and, under DUCivR83-1.1(d) and Local Rule 2090-1, has associated local counsel in this case.Applicant222s address, office telephone, fax number, e-mail address and the courts to whichadmitted, and the respective dates of admission are provided as required.Applicant designates as [check one]: lead counsel; associate local counsel. Dated: (Signature of Applicant) American LegalNet, Inc. www.FormsWorkFlow.com 2 APPLICATION FOR ADMISSION PRO HAC VICE, CONTINUED Name of Applicant: Business Address: Main Office Telephone Number: () Fax Number: () E-mail Address: BAR ADMISSION HISTORY COURTS TO WHICH ADMITTED LOCATION DATE OF ADMISSION (If additional space is needed, attach separate sheet.) PRIOR PRO HAC VICE ADMISSIONS IN THIS DISTRICT CASE TITLE CASE NUMBER DATE OF ADMISSION (If additional space is needed, attach separate sheet.) American LegalNet, Inc. www.FormsWorkFlow.com