Rule 13.6 Form A Resignation

IN THE SUPREME COURT OF THE STATE OF OREGON In Re: ) FORM A (Name) ) RESIGNATION I, , declare that my residence address is________________ (No. and Street), __________(City),_______ (State), _________(Zip Code), and that I hereby resign from licensure with the Oregon State Bar. I agree that, if the Supreme Court accepts my resignation, I will relinquish the right to practice law in this state and respectfully request and consent to my removal from the roster of those admitted to practice before the courts of this state. I hereby certify that I am not charged in any jurisdiction with an offense that is a misdemeanor that may involve moral turpitude, a felony under the laws of this state, or a crime punishable by death or imprisonment under the laws of the United States. I hereby certify that all client files and client records in my possession pertaining to active or current clients have been or will be placed promptly in the custody of__________________, a resident Oregon attorney, whose principal office address is , who has agreed to serve as custodian to take possession of the files and take such further action as necessary to protect the interests of the clients, and that all such clients have been or will be promptly notified accordingly, and that the following arrangements have been made with regard to client files and records pertaining to inactive or former clients, if any: OR I hereby certify that all client files and client records pertaining to active or current clients have been or will be placed promptly in the custody of the Professional Liability Fund, which has agreed to take possession of the files and take such further action as necessary to protect the interests of the clients, and that such clients have been or will be promptly notified accordingly, and that the following arrangements have been made with regard to client files and records pertaining to inactive or former clients, if any: OR I hereby certify that I have no client files or client records pertaining to active or current clients and that the following arrangements have been made with regard to client files and records pertaining to inactive or former clients, if any: I agree to perform the duties of a resigned attorney set forth in BR 9.3 and that I may be held in contempt of court if I do not. DATED at ,this day of , 20 . I HEREBY DECLARE THAT THE ABOVE STATEMENT IS TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF, AND THAT I UNDERSTAND IT IS MADE FOR USE AS EVIDENCE IN COURT AND IS SUBJECT TO PENALTY FOR PERJURY. (Signature of Licensee) I, , Chief Executive Officer of the Oregon State Bar, do hereby certify that there are no inquiries or grievances involving the above-name attorney under investigation by the Bar, no disciplinary proceedings are pending against the attorney, and the attorney is not suspended, disbarred, or on probation pursuant to BR 6.1 and BR 6.2. DATED this _____ day of____, 20____. OREGON STATE BAR By: ___________________________ Chief Executive Officer (Former Rule 12.6 redesignated as Rule 13.6; Rule 13.6 amended by Order dated May 3, 2017, effective January 1, 2018.)