Affidavit In Support Of Application To Resign While Proceeding Or Investigation Is Pending - Supreme Court Of The State Of New York Page 27
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28- OR -
All communications may be addressed to me personally at the following address:
_________________________.
8.
I was admitted to the New York State Bar on [date] by the ___________ Judicial
Department and my attorney registration number is ___________.
9.
By order of this Court entered [date], my voluntary resignation from the Bar of this State
was accepted by the Court and my name was removed from the roll of attorneys. A copy of said
order is attached as exhibit ___ hereto.
10.
I seek reinstatement to the New York State Bar for the following reasons:
11.
I have also been admitted to practice in the following courts or jurisdictions:
_________________.
[Certificates of Good Standing, issued within the 30 days preceding the execution of this
affidavit by all such courts or jurisdictions in which I am currently admitted to practice, except
those in which I have not been reinstated as set forth in paragraph 12 hereof, are attached as
exhibit ___ hereto.]
- OR -
I attest that I have not been admitted to practice in any other courts or jurisdictions.
12.
Since the entry of the order accepting my resignation and removing my name from the
roll of attorneys, I have been the subject of complaints of professional misconduct or of
professional discipline in the following other courts or jurisdictions: [state the court or
jurisdiction, the date, the nature of the complaint or the discipline imposed, and whether or not
you are now in good standing in such court or jurisdiction].
- OR -
I attest that, since the entry of the order accepting my resignation and removing my name from
the roll of attorneys, I have not been the subject of complaints of professional misconduct or of
professional discipline in this or any other court or jurisdiction.
13.
Since the entry of the order accepting my resignation and removing my name from the
roll of attorneys, 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 accepting my resignation and removing my name from
the roll of attorneys, I have not been arrested, charged with, indicted, convicted, tried, and/or
entered a plea of guilty to any felonies, misdemeanors, violations, and/or traffic infractions.
14.
Since the entry of the order accepting my resignation and removing my name from the
roll of attorneys, I have suffered from or have been treated for the following condition or
impairment which in any way impairs or limits my ability to practice law: [state the date or dates
of each instance, including, but not limited to any mental, emotional, psychiatric, nervous or
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