Application For Resignation (No Clients)

- 0 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Resignation Application Applicant does not have Nevada c lients. *Please make sure exhibit and page numbers stay on current page before submitting your application. American LegalNet, Inc. www.FormsWorkFlow.com - 1 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 BEFORE THE STATE BAR OF NEVADA BOARD OF GOVERNORS IN THE MATTER OF T HE ) RESIGNATION APPLICATION OF ) ) ) ) Bar Number: ) ) SCR 98(5) APPLICATION FOR RESIGNATION WHEREAS SCR 98(5) states: Any member of the stat e bar who is not actively engaged in the practice of law in this state, upon written application on a form approved by the state bar, may resign from membership in the state bar if the member: (a) has no discipline, fee dispute urity fund matters pending and (b) is current on all membership fee payments and other financial commitments relating to the filed with the state bar, accepted by the board o f governors, and approved by the supreme court. Attorney , Bar Number submits this application requesting resignation from membership in the State Bar of Nevada and relinquishes the right to practice law in this state. Ap plicant verifies that , upon best information and belief, Applicant is current on all in Nevada. ( NOTE : The State Bar of Nevada retains the right of final review in this regard prior t o the matter being reviewed by the Board of Governors and, if applicable, referred to the Supreme Court of Nevada. ) // American LegalNet, Inc. www.FormsWorkFlow.com - 2 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 In accordance with SCR 98(5) attached is an Affidavit of Compliance with Supreme Court Rule 115 (Notice of Change in License Status). (Exhibit A) Pursuant to SCR 98(5)(b), resignation under this rule is irrevocable . By si gning below, Applicant verifies and understands that : 1. Applicant may only return to the active practice of law by making ap plication as a new admittee, subject to the provisions of Supreme Court rules and applicable law, including the requirements that Applicant : (a) Demonstrates that Applicant is of good character and is willing and able to abide by the high ethical standards required of attorneys and counselors at law; and (b) Takes and passes the Nevada State Bar Examination; AND 2. That as a member with no pending matter before the State Bar, Applicant is eligible CR 98(4) and knowingly elects instead to file the instant application for resignation pursuant to 247 5; AND 3. That in accordance with SCR 98 investigate and take action with respect to matters involving the member resigning from the S AND // // // // // // // // American LegalNet, Inc. www.FormsWorkFlow.com - 3 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 4. That Applicant has read and understands the appendix attached hereto entitled Submitted this day of , 20 . Name Address City/State/Zip ATTORNEY STATE OF ) ) SS: COUNTY OF ) SUBSCRIBED AND SWORN to before me this day of , 20 . NOTARY PUBLIC American LegalNet, Inc. www.FormsWorkFlow.com - 4 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 IN THE SUPREME COURT OF THE STATE OF NEVADA IN THE MATTER OF THE ) RESIGNATION APPLICATION OF ) ) ) ) Bar Number: ) ) AFFIDAVIT OF COMPLIANCE WITH SUPREME COURT RULE 115 STATE OF ) ) SS: COUNTY OF ) , being duly sworn under oath, deposes and says: 1. That I am the attorney in the above entitled matter and am filing this Affidavit in accordance with Supreme Court Rule 115(4). 2. That wh en the Order granting petition for resignation is filed in this matter in accordance with Supreme Court Rule 115(7) it will become effective immediately. 3. That I will fully comply with the provisions of said Order granting petition for resignation and thes e rules. 4. That I do not have Nevada clients. 5 . That I have been admitted in the past to the following state bars : and the following courts . 6 . That I have served on Bar Counsel a copy of this affidavit, along with a mailing matrix of all clients and adverse attorneys notified under Supreme Court Rule 115(2) and 115(3) on Bar Counsel. // Exhibit A American LegalNet, Inc. www.FormsWorkFlow.com - 5 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 7 . That I may be reached at the follow ing address: . 8 . The address and telephone number of a contact person designated for client files is: . ATTORNEY Subscribed and sworn to before me this day of , 20. NOTARY PUBLIC of and for said County and Sta te American LegalNet, Inc. www.FormsWorkFlow.com - 6 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 APPENDIX: NOTICE TO APPLICANT OF MANNER OF APPROVAL In accordance with SCR 98(5) , the following three (3) exhibits will be attached to this Application before being presented to the Board of Governors : 1. The approval of Bar Counsel, including conf irmation that no discipline is pending against Applicant (Exhibit B); and 2. Verification there are no pending fee dispute arbitration claims against the Applicant (Exhibit C ), and 3. Verification that A pplicant is current on al l membership fee payments and other financi al commitments relating to the A (Exhibit D ). T his application will be brought before the State Bar Board of Governors at its next regularly - scheduled meeting. Applicant wi ll be n - reported address of record to the State Bar. If the Board approves this application, State Bar Counsel will forward the matter to the Supreme Court of Nevada for a final determina tion in accordance with SCR 98(5). NOTE: A PPLI N OT BE EFFECTIVE UNLESS AND UNTIL THE SUPREME COURT OF NEVADA ENTER S AN ORDER APPROVING THE RESIGNA TION. American LegalNet, Inc. www.FormsWorkFlow.com - 7 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 BEFORE THE STATE BAR OF NEVADA BOARD OF GOVERNORS IN THE MATTER OF THE ) RESIGNATION APPLICATION OF ) ) ) ) Bar Number: ) ) APPROVAL OF BAR COUNSEL Having confirmed Applicant has no pending disciplinary matters an d having reviewed 98(5) Application for Resignation submitted herewith and being satisfied with it, under the term s and conditions set forth in SCR 98( 5) . DATED this day of , 20 . STATE BAR OF NEVADA By: DANIEL M. HOOGE Bar Counsel Nevada Bar No. 10620 3100 W. Charleston Boulevard , Ste. 100 Las Vegas, Nevada 8910 2 (702) 382 - 220 0 Exhibit B American LegalNet, Inc. www.FormsWorkFlow.com - 8 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 BEFORE THE STATE BAR OF NEVADA BOARD OF GOVERNORS IN THE MATTER OF THE ) RESIGNATION APPLICATION OF ) ) ) ) Bar Number: ) ) MANAGER The undersigne d, in her official capacity as Manager for the State Bar Fee Dispute against the App lic ant be fore either the Fee Dispute or DATED this day of , 20 . STATE BAR OF NEVADA By: THERESA FREEMAN Client Protection Manager 3100 W. Charleston Boulev ard , Ste. 100 Las Vegas, Nevada 8910 2 (702) 382 - 2200 Exhibit C American LegalNet, Inc. www.FormsWorkFlow.com - 9 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 BEFORE THE STATE BAR OF NEVADA BOARD OF GOVERNORS IN THE MA TTE R OF THE ) RESIGNATION APPLICATION OF ) ) ) ) Bar Number: ) ) STATEMENT OF EXECUTIVE DIRECTOR The undersigned, in her official capacity as Exe cutive Director of the State Bar of Nevada, hereby confirms that the above - named applicant is current on all membership fee payments and DATED this day of , 20 . STATE BAR OF NEVADA By: KIMBERLY K. FARMER Executive Director 3100 W. Charleston Boulevard, Ste. 100 Las Vegas, Nevada 89102 (702) 382 - 2200 Exhibit D American LegalNet, Inc. www.FormsWorkFlow.com