Form CN:11620 "Certification of Retirement" - New Jersey

What Is Form CN:11620?

This is a legal form that was released by the New Jersey Lawyers’ Fund For Client Protection - a government authority operating within New Jersey. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2018;
  • The latest edition provided by the New Jersey Lawyers’ Fund For Client Protection;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CN:11620 by clicking the link below or browse more documents and templates provided by the New Jersey Lawyers’ Fund for Client Protection.

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Download Form CN:11620 "Certification of Retirement" - New Jersey

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New Jersey Lawyers’ Fund For Client Protection
P.O. Box 961
Trenton, NJ 08625-0961
Certification of Retirement
For The Calendar Year(s)
The retired exemption from payment is as defined, without alteration. We cannot grant the
exemption if the language of this certification is altered or if “January 31” is deleted and a
later date substituted.
I, _______________________________________________, Esq., of full age, say:
1.
I am an attorney at law licensed to practice in the State of New Jersey;
2.
I hereby request exemption from payment to the New Jersey Lawyers' Fund for Client
Protection for the calendar year indicated pursuant to Rule 1:28-2 because I am “retired
completely from the practice of law” in every jurisdiction. I understand that attorneys are
not exempt from payment solely by virtue of being out-of-state or exempt from pro bono
assignment;
3.
The employment in which I engage is not in any way related to the practice of law. I do
not draft or review, if any, legal documents, render advice on the law or legal assistance,
teach law, or serve in a court system in any capacity, in any jurisdiction. This is an
accurate description of my activities at least since January 31 of the year for which
exemption is sought;
4.
I understand that I have an ongoing duty to immediately inform the Fund if I no longer
qualify for the exemption granted;
5.
I understand that I will remain officially retired until I inform the Fund otherwise;
6.
I understand that it is my obligation to keep my address current with the Fund and
respond to the Annual Attorney Registration Statement and Pro Bono Assignment
Questionnaire.
I certify that the foregoing statements made by me are true. I am aware that if any of the
foregoing statements made by me are willfully false, I am subject to punishment.
Date:
Signature:
Revised: 05/2018, CN: 11620
page 1 of 1
Save
Print
Clear
New Jersey Lawyers’ Fund For Client Protection
P.O. Box 961
Trenton, NJ 08625-0961
Certification of Retirement
For The Calendar Year(s)
The retired exemption from payment is as defined, without alteration. We cannot grant the
exemption if the language of this certification is altered or if “January 31” is deleted and a
later date substituted.
I, _______________________________________________, Esq., of full age, say:
1.
I am an attorney at law licensed to practice in the State of New Jersey;
2.
I hereby request exemption from payment to the New Jersey Lawyers' Fund for Client
Protection for the calendar year indicated pursuant to Rule 1:28-2 because I am “retired
completely from the practice of law” in every jurisdiction. I understand that attorneys are
not exempt from payment solely by virtue of being out-of-state or exempt from pro bono
assignment;
3.
The employment in which I engage is not in any way related to the practice of law. I do
not draft or review, if any, legal documents, render advice on the law or legal assistance,
teach law, or serve in a court system in any capacity, in any jurisdiction. This is an
accurate description of my activities at least since January 31 of the year for which
exemption is sought;
4.
I understand that I have an ongoing duty to immediately inform the Fund if I no longer
qualify for the exemption granted;
5.
I understand that I will remain officially retired until I inform the Fund otherwise;
6.
I understand that it is my obligation to keep my address current with the Fund and
respond to the Annual Attorney Registration Statement and Pro Bono Assignment
Questionnaire.
I certify that the foregoing statements made by me are true. I am aware that if any of the
foregoing statements made by me are willfully false, I am subject to punishment.
Date:
Signature:
Revised: 05/2018, CN: 11620
page 1 of 1