Free Attorney Resignation Form - Connecticut

Clerk United States District Court 141 Church Street New Haven, CT 06510

Dear Clerk: Pursuant to Rule 83.2 of the Local Rules of Civil Procedure for the District of Connecticut, I hereby resign from the bar of this Court and waive the privilege of applying for readmission at any time in the future.

WITNESS:

Respectfully submitted,

STATE OF COUNTY OF

: : :

On this day of , , before me, , the undersigned officer, personally appeared , known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that he/she executed the same for the purposes therein contained as his/her free act and deed. IN WITNESS WHEREOF, I have hereunto set my hand.

Notary Public My commission expires

N.B. Rule 83.2 of the Local Rules provides as follows: Any attorney may resign from the bar of this Court by submitting a resignation, in writing, properly witnessed and acknowledged to be the attorney's free act and deed, to the Clerk of this Court, which shall be effective upon filing. However, such resignation shall not affect any disciplinary proceedings pursuant to these rules, unless the attorney's resignation certifies that the attorney waives the privilege of applying for readmission to the bar at any future time, in which case disciplinary proceedings shall be terminated.