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If this application is filed electronically I understand that the provisions of LBR 5005-1 d 3 apply and that I am required to retain documentation evidencing the signature of the applicant. Local Counsel Name WSBA Bar ID Number Local Counsel Address Rev. Eff. September 2016 Signature of Local Counsel. Secure Form UNITED STATE BANKRUPTCY COURT WESTERN DISTRICT OF WASHINGTON In re No APPLICATION FOR LEAVE TO APPEAR PRO HAC VICE Debtor Pursuant to Local Civil Rule 83. I have not been disbarred...
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