Fillable Form Db-25d - Statement Of Compliance printable pdf download

Form Db-25d - Statement Of Compliance

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Form DB-25d

(2/2015)

____________________________________________________________________________________

STATEMENT OF COMPLIANCE

_____________________________________________________________________________________

To:

The Disciplinary Board of the Supreme

Re: _________________________________

Court of Pennsylvania

(Respondent)

601 Commonwealth Avenue, Suite 5600

PO Box 62625

No. ____ Disciplinary Docket No. 3

Harrisburg, PA 17106-2625

No. ____ DB ______

Attorney Registration No. _______

Pursuant to Rule 217(e) of the Pennsylvania Rules of Disciplinary Enforcement, I hereby certify as

follows in connection with my Disbarment, Suspension for a period exceeding one year, temporary

suspension under Rule 208(f) or 213(g) or transfer to disability inactive status under Rule 216 or

301, by Order of the Supreme Court of Pennsylvania dated _______________________:

(1)

That I have fully complied with the applicable provisions of Pa.R.D.E. 217 by notifying all

clients being represented in pending matters or proceedings; the attorneys for each adverse

party in pending litigation or administrative proceedings; all persons or their agents or

guardians to whom a fiduciary duty is owed; any other persons with whom I have

professional contacts; and all other tribunals, courts, agencies or jurisdictions in which I am

admitted to practice.

There are currently no clients or others I need to notify in accordance with Pa.R.D.E.

217(a), (b) and (c).

(2)

That the following is a list of all other state, federal and administrative jurisdictions to which I

have been admitted to practice:

______________________________

I am not admitted to practice law in any other tribunal, court, agency or jurisdiction.

(3)

I have resigned all appointments as personal representative, executor, administrator,

guardian, conservator, receiver, trustee, agent under a power of attorney, or other fiduciary

position.

I have no such appointments to resign.

(4)

I have closed every IOLTA, Trust, client and fiduciary account and I have properly disbursed

or otherwise transferred all client and fiduciary funds in my possession, custody or control.

I have no IOLTA, Trust, client or fiduciary accounts to close.

Form Db-25d - Statement Of Compliance

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