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IN THE CHANCERY COURT OF COUNTY, MISSISSIPPI EX PARTE: CAUSE NO. PETITION FOR LICENSE TO PRACTICE LAW COMES now the petitioner and applicant, , an adult resident citizen of County, Mississippi, and respectfully petitions the Court and says: The applicant, being in all respects qualified, made application to the St ate Board of Bar Admissions for an examination to be admitted to practice law in the State of Mississippi; has been duly examined by said Board and found well versed in the law and its practice and has been issued a Certificate to the effect that he/she is in all things duly qualifie d under the laws of the State of Mississippi to practice law in all Courts of the State, said Certifica te being duly signed on the day of , . A copy of said Certificate is attached hereto and made a part hereof, as Exhibit "A", as much so as if copied fully herein in words and figures. WHEREFORE PREMISES CONSIDERED, petitioner prays that this his/her petition be filed and that upon a hearing hereon, the Court or Chancellor, in vacation or regular term , may cause to be entered on the minutes of this Court an order granting to the Petitioner a license to practice law in all the Courts, both of law and equity, in the State of Mississippi upon his/her taking the oath prescribed by law. Petitioner prays for general relief. Respectfully submitted, ___________________________________ STATE OF MISSISSIPPI COUNTY OF Before me, the undersigned authority in and for the County and State aforesaid on this day date personally came and appeared the above and within named , who being by me first duly sworn, upon his/her oath states that all matters, facts, and things set forth and a lleged in the above and foregoing petition are true and correct as therein stated. __________________________________ SWORN TO AND SUBSCRIBED before me, this the day of , . __________________________________ NOTARY PUBLIC My Commission Expires:__________________________