7.
All communications may be addressed to me at the office of my attorney, [name], at
[address], and I hereby authorize my attorney to accept and acknowledge receipt of any and all
legal documents or other notices on my behalf.
- 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], I was [suspended for ____ years -or- months -or-
disbarred] from the practice of law. My use of the term "discipline" hereinafter refers to the
sanction imposed by this Court in the foregoing order. A copy of the order imposing discipline
is attached as exhibit ___ hereto.
10.
Since the entry of the order of discipline, I have complied with the order of discipline in
all respects. I have also complied with Judiciary Law §§ 478, 479, 484 and 486.
11.
I have sent written notice of my [suspension - or - disbarment] to each client and any
other party, as required by section 1240.15 (b) of the Uniform Rules for Attorney Disciplinary
Matters.
12.
I have delivered to all clients or third parties, or to a successor attorney designated by
such clients or third parties, all money and property in my possession (including legal files), as
required by section 1240.15 (c) of the Uniform Rules for Attorney Disciplinary Matters.
13.
I have discontinued all attorney advertising, as required by section 1240.15 (d) of the
Uniform Rules for Attorney Disciplinary Matters.
14.
I have forfeited any secure pass issued to me by the Office of Court Administration, as
required by section 1240.15 (e) of the Uniform Rules for Attorney Disciplinary Matters.
15.
I have not and will not share in any fee for legal services rendered by another attorney
during the period of my [suspension - or - disbarment], as precluded by section 1240.15 (g) of
the Uniform Rules for Attorney Disciplinary Matters. For all cases in which I may have a claim
for compensation earned for work performed prior to my [suspension - or - disbarment], I [have
filed -or- intend to file] a motion in the appropriate forum for an order fixing my fees for such
work.