Affidavit In Support Of Application To Resign While Proceeding Or Investigation Is Pending - Supreme Court Of The State Of New York Page 28

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behavioral disorder or condition, or any alcohol, drug or other substance abuse condition or
impairment or gambling addiction, and the date(s) of treatment, if any].
- 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 suffered from or been treated for any condition or impairment
which in any way impairs or limits my ability to practice law.
15.
Within the 30 days preceding the execution of this affidavit, I have read the Rules of
Professional Conduct (22 NYCRR 1200.0). If reinstated to the practice of law, I will conform
my conduct to those rules.
16.
Since the entry of the order accepting my resignation and removing my name from the
roll of attorneys, I have completed ____ credit hours of continuing legal education in the
following programs and other educational classes, in order to remain current with developments
in the law:
[Certificates attesting to my completion of the aforementioned programs or classes are attached
as exhibit ___ hereto.]
- OR -
Since the entry of the order accepting my resignation and removing my name from the roll of
attorneys, I have not completed any credit hours of continuing legal education.
17.
I understand that the Court and the Committee may take such investigative steps as are
deemed appropriate to evaluate my character and fitness for reinstatement to the Bar. I will fully
cooperate with any request for additional information and make myself available to answer
questions under oath or affirmation, as required.
WHEREFORE, I request that the Court grant this application for my reinstatement as an
attorney and counselor-at-law licensed to practice in the State of New York.
Dated: [city or town, state]
________________ ____, 20___
______________________________
Subscribed to and sworn to before me
this _____day of _____________, 20___
______________________________
Notary Public

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