THE STATE OF SOUTH CAROLINA
In the Supreme Court
APPLICATION FOR CERTIFICATION AS LEAD COUNSEL FOR DEATH PENALTY DEFENSE
Name: ____________________________________________________________________________
Address: __________________________________________________________________________
South Carolina Bar Number: ___________________________________________________________
I certify that I have been a licensed attorney for five years and have three years experience in the actual
trial of felony cases.
_________________________
_______________________________________
Date
Signature
Sworn to and subscribed before me this ________ day of _________________________, 20____.
______________________________________
Notary Public for: _______________________
My Commission Expires: __________________
G Approved
G Disapproved
___________________________________
Daniel E. Shearouse, Clerk
Date: _______________________