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Get IN Application for Certification as Senior Judge 2012

Please use the same size and format and repeat verbatim on the application every question or category on this form. 1. Please provide your full name and birthdate. 2. Please provide the address, telephone number, and email for your home and, if applicable, your office information. 3. Please provide your attorney number and indicate whether you are on active status with the Indiana Commission on Continuing Legal Education. 4. On what court did you formerly serve as judge, magistrate, or comm.

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