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Appearance Of Counsel Form

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UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT

APPEARANCE OF COUNSEL FORM

BAR ADMISSION & ECF REGISTRATION:

If you have not been admitted to practice before the Fourth Circuit,

you must complete and return an

Application for Admission

before filing this form. If you were admitted to practice

under a different name than you are now using, you must include your former name when completing this form so that we

can locate you on the attorney roll. Electronic filing by counsel is required in all Fourth Circuit cases. If you have not

registered as a Fourth Circuit ECF Filer, please complete the required steps at

eFiling.

______________________________

THE CLERK WILL ENTER MY APPEARANCE IN APPEAL NO.

[ ]Retained [ ]Court-appointed(CJA) [ ]Court-assigned(non-CJA) [ ]Federal Defender [ ]Pro Bono [ ]Government

_______________________________________________________________________

COUNSEL FOR:

__________________________________________________________________________________

as the

(party name)

appellant(s)

appellee(s)

petitioner(s)

respondent(s)

amicus curiae

intervenor(s)

movant(s)

______________________________________

(signature)

________________________________________

_______________

Name (printed or typed)

Voice Phone

________________________________________

_______________

Firm Name (if applicable)

Fax Number

________________________________________

_________________________________

Address

E-mail address (print or type)

CERTIFICATE OF SERVICE

I certify that on _________________ the foregoing document was served on all parties or their counsel of record

through the CM/ECF system if they are registered users or, if they are not, by serving a true and correct copy at the

addresses listed below:

______________________________

____________________________

Signature

Date

01/19/2016 SCC

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