ATTORNEY RETIREMENT WRITTEN NOTICE JD-CL-68 Rev. 9-09 P.B. § 2-55, C.G.S. §51-81b(g) STATE OF CONNECTICUT SUPERIOR COURT JUDICIAL BRANCH Instructions 1. Fill out form completely. 2. If you do not know your juris number, it can be found online at http://civilinquiry.jud.ct.gov/AttorneyFirmInquiry.aspx. 3. File the original and two copies with the clerk for the Hartford Judicial District, 95 Washington Street, Hartford, Connecticut, 06106. 4. Keep a copy for your records. To: Clerk of the Superior Court, 95 Washington Street, Hartford, CT 06106 Name of attorney (First, middle, last, suffix (i.e. jr., sr,. III)) Connecticut Juris number Address of attorney (Number, street, apartment number, city, state and zip code) Pursuant to Section 2-55 of the Practice Book, I hereby retire from the practice of law in the State of Connecticut. NOTICE: This written notice of your retirement will be effective as of the date it is filed with the Hartford Superior Court Clerk's Office. Signed (Attorney named above) Name of person signing at left (Print or type) Date signed Sec. 2-55. Retirement of Attorney Written notice of retirement from the practice of law, pursuant to the provisions of General Statutes § 51-81b, shall not constitute removal from the bar or the roll of attorneys, but it shall be noted on the roll of attorneys kept by the clerk in Hartford county who shall notify the statewide bar counsel of such retirement. The notice shall include the attorney's juris number and be filed in triplicate with such clerk. Upon the filing of such notice, the attorney shall no longer be eligible to practice law as an attorney admitted in the state of Connecticut. Retirement may be revoked at any time upon written notice to the clerk for Hartford county and the statewide bar counsel. Disciplinary proceedings against an attorney shall not be stayed or terminated on account of the attorney’s retirement from the practice of law. American LegalNet, Inc. www.FormsWorkFlow.com