Application For Appointment To The Board Of Review Page 9
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1225.
Have you ever been a party to or been involved in any other legal proceedings other than as
counsel? (Do not include proceedings in which you were a guardian ad litem, executor or
administrator, but do include all bankruptcies and proceedings in which you were a party in
interest).
Yes
No
26.
If as a past or current member of the armed forces, have you been the subject of any charges
which resulted in disciplinary action or court martial?
Yes
No
27.
Have you filed all state and federal tax returns in each year since you became a member of the
bar?
Yes
No
28.
Have federal, state or local authorities ever instituted a tax lien or other collection procedure
against you? If so, please provide details, including case numbers and court?
Yes
No
29.
Are there any unsatisfied judgments against you?
Yes
No
30.
Have you ever defaulted in the performance of any court-imposed obligations, including payment
of child support or alimony or compliance with another court order or decree?
Yes
No
31.
Have you ever made an assignment for the benefit of creditors?
Yes
No
32.
Has any petition in bankruptcy ever been filed by you? If so, please state the circumstance,
docket number, and the outcome?
Yes
No
33.
Is there any other information tending to reflect adversely on your personal or professional
background or qualifications, or which you think might be so interpreted by others, which the
Council and the Governor should know in the interests of full disclosure?
Yes
No
If the answer to any of the questions in Questions 22-33 is “Yes”, please attach a separate sheet
of paper and provide additional detail.
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