Fill and Sign the Pro Hac Vice Form

- 1 - IN THE ______________ COURT OF ______________ COUNTY STATE OF ________________ ) ) ) Petitioner/Plaintiff, ) ) ) NO. Vs. ) ) ) Respondent/Defendant ) ) MOTION FOR LEAVE TO APPEAR PRO HAC VICE COME NOW Defendants, ______________, ("Defendants"), and file this, their motion for leave to permit ______________ to appear as counsel pro hac vice for defendants in this cause. For grounds, defendants would state as follows: 1. ______________ is a member in good standing of the bar of __________, is of good moral character, and is otherwise qualified for admission pro hac vice in this ca use under the requirements of _________ Supreme Court Rule ___. Attached hereto as Exhibit "A' is ______________’s informational affidavit required by ________ Supreme Court Rule ____. 2. ______________, of the law firm of ______________, will continue to serve as local counsel for defendants in association with ______________. Defendants respectfully request that this Court enter an order granting ______________ leave to appear and serve as counsel pro hac vice in this cause. - 2 - WHEREFORE, PREMISES CONSIDERED, defendants respectfully request that this motion be granted, and that the Court grant such other and further relief as it deems j ust and proper. Respectfully submitted, Dated: Name: Title: Address: Address: City, State, Zip: Phone: Fax: E-Mail: Attorney No.: CERTIFICATE OF SERVICE I, ______________________________, do hereby certify that I have this day mailed, U.S. Mail, postage prepaid, a true and correct copy of the above and foregoing to __________________________________, at the following address; ___________________________________________________________________ THIS the ____ day of _____________, 20____. _________________________________