Fill and Sign the Pro Hac Vice 497302324 Form

IN THE SUPREME COURT OF THE STATE OF DELAWARE (1) , : No. (5) (2) Below, : Appellant, : v. : : (3) , : (4) Below, : Appellee. : MOTION AND ORDER FOR ADMISSION PRO HAC VICE (6) a member of the Delaware Supreme Court bar, pursuant to Rule 71, moves the admission pro hac vice of (7) to represent (8) in this action. Movant certifies that Movant finds the applicant to be a reputable and competent attorney, and Movant is in a position to recommend the applicant's admission. The applicant is admitted, practicing, and in good standing in (9) (10) (11) hereby certifies: 1. That applicant shall be bound by the Delaware Lawyers' Rules of Professional Conduct. 2. That applicant and all attorneys of the applicant's firm who directly or indirectly provide services to the party or cause at issue shall be bound by all Rules of the Court. 3. That applicant has reviewed the Statement of Principles of Lawyer Conduct. 4. That applicant consents to the appointment of the Clerk of the Supreme Court as agent upon whom service of process may be made for all actions, including disciplinary actions, that may arise out of the practice of law under this Rule and any activities related thereto. 5. The applicant has appeared in (12) actions in courts of record of Delaware in the preceding twelve (12) months. 6. Applicant does not maintain an office in the State of Delaware except (13) 7. That applicant is a member in good standing of the bar of the State of (14) 8. Applicant has not been disbarred or suspended, and is not the object of any pending disciplinary proceedings in any jurisdiction where the applicant has been admitted generally, pro hac vice, or in any other way, except (15) 9. Applicant is admitted for the practice of law in the following states or other jurisdictions: (16) 10. Payment for the pro hac vice application assessment in the amount of One Hundred Dollars ($100.00) is attached for deposit in the Delaware Supreme Court registration fund to be distributed as the Supreme Court directs pursuant to Rule 71. Dated: _____________________ ____________________________________ Applicant's Signature ORDER The foregoing application for admission to practice in this action pro hac vice is hereby granted. IT IS SO ORDERED this ____.day of ________________, 20____ . _________________________________________ Justice Insertions to Official Form O: [1] Appellant's name. [2] Appellant's lower court status. [3] Appellee's name. [4] Appellee's lower court status. [5] Supreme Court appeal number. [6] Moving attorney's name. [7] Applying pro hac vice attorney's name, firm, office address and office telephone number. [8] Moving party's name. [9] Jurisdiction in which applying pro hac vice attorney is admitted to practice law. [10] Moving attorney's name, address, telephone number and Delaware Bar ID number. [11] Applying pro hac vice attorney's name. [12] Number of court actions in which applicant has appeared in Delaware in the preceding 12 months. [13] Applicant's Delaware office address, if any. [14] State(s) in which applicant is admitted to practice law. [15] Instances, if any, in which applicant has been disbarred, suspended or is the object of a pending disciplinary proceeding. [16] Other jurisdictions in which applicant is admitted to practice law. (Added, effective Feb. 28, 1992; amended Aug. 18, 1995, effective Sept. 1, 1995; Apr. 6, 1999.)