Amendments To The Florida Rules Of Judicial Administration - Supreme Court Of Florida Page 13

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1512. Movant has filed motion(s) to appear as counsel in Florida state courts
during the past five (5) years in the following matters: (Attach an additional sheet
if necessary.)
Date of Motion Case Name Case Number Court Date Motion Granted/Denied
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
1613. Local counsel of record associated with Movant in this matter is
_________________ who is an active member in good standing of The Florida Bar
(Name and Florida Bar Number)
and has offices at
,
,
,
(Street Address)
(City)
(County)
________________,
.
(State)
(Zip Code)
(Telephone with area code)
(If local counsel is not an active member of The Florida Bar in good standing,
please provide information as to local counsel’s membership
status.___________________________________)
1714. Movant has read the applicable provisions of Florida Rule of Judicial
Administration 2.510 and Rule 1-3.10 of the Rules Regulating The Florida Bar and
certifies that this verified motion complies with those rules.
1815. Movant agrees to comply with the provisions of the Florida Rules of
Professional Conduct and consents to the jurisdiction of the courts and the Bar of
the State of Florida.
WHEREFORE, Movant respectfully requests permission to appear in this
court for this cause only.
DATED this ___________ day of ___________________, 20____.
______________________________
Movant
______________________________
Address
______________________________
- 13 -

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