Applicant’s Name & Utah State Bar #

Applicant’s Firm

Applicant’s Street Address

City, State & ZIP

Applicant’s Phone Number

IN THE UNITED STATES DISTRICT COURT

DISTRICT OF UTAH - CENTRAL DIVISION

______

:

In re: :

Application of:ORDER

NAME:

:

______

This matter is before the Court on Sponsoring Attorney’s Name Motion for Applicant Admission to the United States District Court for the District of Utah.

IT IS HEREBY ORDERED, that Applicantbe admitted to the Bar of the United States District Court for the District of Utah.

IT IS FURTHER ORDERED that Applicant take the following oath before a Judge of a U.S. District Court or U.S. Circuit Court as required by Rule 83-1.1(b)(2)(C) of the Civil Rules of Procedure for the U.S. District Court of the District of Utah:

I do solemnly swear (or affirm), that I will support, obey and defend the Constitution of the United States and the Constitution of the State of Utah; that I will discharge the duties of attorney and counselor at law as an officer of the Courts of the State of Utah and the United States District Court of the District of Utah with honesty and fidelity; and that I will strictly observe the rules of professional conduct, adopted by the United States District Court for the District of Utah.

Dated this ____ day of ______, _____.

______

Chief U. S. District Judge

Movant’s Name & Utah State Bar #

Movant’s Law Firm

Movant’s Street Address

City, State & ZIP

Movant’s Phone Number

IN THE UNITED STATES DISTRICT COURT

DISTRICT OF UTAH ______

:

In re: :

Application of:MOTION FOR ADMISSION OF

Applicant’s Name:NON-RESIDENT ATTORNEY

:

______

Movant, the undersigned, being an active member of the Bar of this Court, hereby moves this Court for the admission of Applicant to the Bar of the United States District Court for the District of Utah. Applicant has been an active member in good standing of the Utah State Bar since date. Motion must also state the reasons that the applicant is seeking nonresident admission to the court’s bar.

This motion is made pursuant to Rule 83-1.1(b)(2)(C) of the Court’s Local Rules of Civil Procedure, in that Applicant is not currently a Utah resident, but resides in State.

RESPECTFULLY SUBMITTED this _____ day of ______, ______.

By: ______Movant

Applicant’s Name & Utah State Bar#

Applicant’s Law Firm

Applicant’s Address

Applicant’s Phone Number

IN THE UNITED STATES DISTRICT COURT

DISTRICT OF UTAH - CENTRAL DIVISION

______

:

In re: :

Application of: AFFIDAVIT

Applicant’s Name:

: ______

Pursuant to Rule 83-1.1(b)(2)(C) of the Civil Rules of Practice for the U.S. District Court for the District of Utah, and as required by court order, Applicant Applicant’s name submits the following affidavit:

Upon being duly sworn upon oath, Applicant affirms that the following statement is true:

On Date Oath Administered, I appeared before United States District or Circuit Judge Judge’s Name of the United States District or Circuit Court for the Name of District or Circuit, in chambers or other location at the name and location of courthouse, and was administered the attorney oath for the U.S. District Court for the District of Utah pursuant to Rule 83-1.1(b)(2)(D) of the Court’s Local Rules of Civil Procedure.

FURTHER AFFIANCE SAYETH NAUGHT

______

Applicant

SUBSCRIBED AND SWORN to before

me this ____ day of ______, ______.

______

Notary Public, State of ______

My Commission Expires: ______

FEDERAL BAR REGISTRATION CARD

UTAH STATE BAR ID:_____/_____/_____/_____ /_____

NAME:______/______/______

Last First Middle Name or Initial

CONTACT INFORMATION:

FIRM NAME:______

STREET ADDRESS:______SUITE/ROOM#:______

CITY: STATE:______ZIP:______WORK TELEPHONE #:

MOTION FOR ADMISSION MADE BY:______

ADMISSION DATE:_____/_____/_____