Affidavit In Support Of Application To Resign While Proceeding Or Investigation Is Pending - Supreme Court Of The State Of New York Page 19

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legal documents or other notices on my behalf.

- OR -

All communications may be addressed to me personally at the following address:

_________________________.

I was admitted to the New York State Bar on [date] by the ___________ Judicial

Department, and my attorney registration number is ___________.

By order of this Court entered [date], I was suspended for ____ months from the practice

of law. A copy of the order imposing the suspension is attached as exhibit ___ hereto.

10.

Since the entry of the order of suspension, I have also been the subject of professional

discipline in the following other courts or jurisdictions: [state the court or jurisdiction, the date,

the nature of the discipline imposed, whether such discipline was public or private, and whether

or not you have been reinstated to practice and are now in good standing in such court or

jurisdiction].

[A copy of each order or judgment imposing such discipline is attached as exhibit ____ hereto.

A copy of each order or judgment reinstating me to practice is attached as exhibit ____ hereto.]

- OR -

I attest that, since the entry of the order of suspension, I have not been the subject of professional

discipline in this or any other court or jurisdiction.

11.

Since the entry of the order of suspension, I have engaged in the following

employment or have been engaged in the following businesses: [in chronological order, state the

dates so engaged, the name and address of the employer or business and the nature of each

employment or business].

12.

I have fully complied with the requirements of the order of suspension, including

paying any required fees and costs, and I am in compliance with section 1240.15 of the

Uniform Rules for Attorney Disciplinary Matters.

13.

Pursuant to section 1240.15 (f) of the Uniform Rules for Attorney Disciplinary Matters, I

filed an affidavit of compliance on [date].

[A copy of that affidavit of compliance is attached as exhibit ___ hereto.]

- OR -

[I failed to file an affidavit of compliance as required by section 1240.15 (f) of the Uniform

Rules for Attorney Disciplinary Matters for the following reason(s):]

14.

Since the entry of the order of suspension, I have been arrested, charged with, indicted,

convicted, tried, and/or entered a plea of guilty to the following felonies, misdemeanors,

violations, and/or traffic infractions: [state the court, the offense charged, and date and nature of

disposition].

[Certificates of conviction pertaining to the above are attached as exhibit ___ hereto.]

- OR -

I attest that, since the entry of the order of suspension, I have not been arrested, charged with,

indicted, convicted, tried, and/or entered a plea of guilty to any felonies, misdemeanors,

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