Affidavit In Support Of Application To Resign While Proceeding Or Investigation Is Pending - Supreme Court Of The State Of New York Page 5

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APPENDIX B
Affidavit of Compliance for Disbarred or Suspended Attorneys
INSTRUCTIONS
(1) The affidavit required by section 1240.15 (f) of these Rules shall be worded and numbered
as set forth below.
(2) The affidavit shall be subscribed and sworn to before a notary public or other person
authorized to administer an oath.
(3) The affidavit shall bear the caption and the docket number, if any, of the proceeding
resulting in the respondent's disbarment or suspension.
(4) In completing the affidavit, the respondent should not omit any passages. To the extent that
the respondent is unable to swear to any of the required statements set forth in the form affidavit,
the respondent must, for each such statement, alternatively explain all facts and circumstances
relevant to why the respondent is unable to swear to the statement.
(5) The affidavit shall be filed with the Court along with an affidavit reflecting service thereof
upon the Chief Attorney of the appropriate Committee.

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