Certificate of Admission to the Bar and Good Standing of Applicant
IN RE APPLICATION OF:_________________________________________________ FOR ADMISSION TO PRACTICE LAW IN THE STATE OF CALIFORNIA. STATE OF ________________________________________ COUNTY OF ______________________________________ I, _________________________________, __________________________________, (name) (title) do hereby certify that the above named applicant was admitted to practice law in this state by the Supreme Court of _________________________ on _____________________ and is now and has been an active member in good standing of the Bar of said court continuously since the said date, except for the following periods _______________, during which times the nature of the disqualification was ___________________________. Dated this ____________ day of _______________, ________. _____________________________ (SEAL) _____________________________ _____________________________ _____________________________________________________________________ ACKNOWLEDGMENT RECEIPT This will acknowledge receipt by the State Bar’s Office of Admissions of a Certificate of Good Standing from the state indicated. _______________________ Applicant’s Social Security # _______________________ State
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THIS IS NOT YOUR EXAMINATION ADMITTANCE TICKET NOR VERIFICATION OF ELIGIBILITY.
________________________________________________ (name) ________________________________________________ (address) ________________________________________________