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AX#: BAR ID # (if applicable): STATE OF 1. Pro Hac Vice Application: I affirm that I am admitted to practice in the United States Courts for the District of (applicable state) and that the information set forth above is true and correct. 2. Claims or Other Limited Use Applications: I affirm that on behalf of authorized to prepare and file proofs of claim, notice of transferred claims, notices(s) of appearance, and reaffirmation agreements. , I am 9 By submitting this registration form, I,.

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