UNITED STATES DISTRICT COURT
FOR THE NORTHERN DISTRICT OF TEXAS
Plaintiff
Defendant
C
ase Number
v.
Telephone
City, State, Zip
Address
Print Name
Signature
Date
MOTION FOR THE APPOINTMENT OF COUNSEL
I request that the Court appoint an attorney to represent me in the matter cited above. In support of this motion I have
attached the following:
1. An affidavit relating to my ability to pay costs and fees.
2. Other material, if any.
I have made the following efforts to obtain counsel from legal aid or legal services organizations or individual
attorneys without payment of a fee or on a contingent fee basis, and have been unable to obtain the services of
counsel: