Michigan Pro Hac Vice Affidavit - State Bar of Michigan



[CAPTION]AFFIDAVIT OF [OUT-OF-STATE ATTORNEY][OUT-OF-STATE ATTORNEY], being sworn, states as follows: I am an attorney currently licensed to practice law and in good standing in [state/territory/foreign country]. My Certificate of Good Standing in [state/territory/foreign country] is attached as Attachment A. I have previously been licensed to practice in [state/territory/foreign country].I have sought a license to practice law in [states/territories/foreign countries OR no other jurisdiction]. I am not disbarred or suspended in any jurisdiction.I am not subject to any pending disciplinary action. I have no disciplinary dispositions. OR My disciplinary dispositions are attached as Attachment B.I am familiar with the Michigan Rules of Professional Conduct, Michigan Court Rules, and Michigan Rules of Evidence. I have appeared or practiced in [NUMBER] cases in Michigan within the past 365 days. ___________________________________[Attorney][Firm][Address][Affiant]STATE OF MICHIGAN)[COUNTY] COUNTY)Signed and sworn before me in [COUNTY] County, Michigan, by [Affiant] on [date].OR Signed and sworn before me using an electronic notarization system under MCL 55.286a in [COUNTY] County, Michigan, on [date].____________________________________[Notary Name], Notary PublicState of Michigan, County of [COUNTY]My commission expires [date]Acting in [COUNTY] County ................
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