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Designation Of Clerk Of Supreme Court As Agent Upon Whom Service Of Process May Be Made 11712 - New Jersey

Designation Of Clerk Of Supreme Court As Agent Upon Whom Service Of Process May Be Made Form. This is a New Jersey form and can be used in Supreme Court Statewide .
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Supreme Court of New Jersey New Jersey Attorney Designation of Clerk of the Supreme Court as Agent Upon Whom Service of Process May Be Made (Rule 1:21-1(a)(2)) An attorney who is not domiciled in this State and does not maintain a fixed physical location for the practice of law in this State, but who meets all the qualifications for the practice of law set forth herein must designate the Clerk of the Supreme Court as agent upon whom service of process may be made for the purposes set forth in subsection (a)(1) of this rule [i.e., for all actions, including disciplinary actions, that may arise out of the practice of law and activities related thereto], in the event that service cannot otherwise be effectuated pursuant to the appropriate Rules of Court. The designation of the Clerk as agent shall be made on a form approved by the Supreme Court. [Rule 1:21-1(a)(2).] Please Provide All Requested Information First Name: Last Name: Date of Admission to New Jersey Bar: Middle Name: Suffix (if applicable): N.J. Attorney ID: Designated Location [Rule 1:21-1(a)(1) requires attorneys to "designate one or more fixed physical locations where client files and the attorney's business and financial records may be inspected on short notice by duly authorized regulatory authorities, where mail or hand-deliveries may be made and promptly received, and where process may be served on the attorney for all actions"]: Address: Municipality: Telephone: Check if this is a residence Residence Address (if not provided above): Municipality: Telephone: State: E-mail: Zip Code: State: E-mail: Zip Code: ATTORNEY'S CERTIFICATIONS & DESIGNATION: Check this box and sign below if you are admitted to the New Jersey bar and meet all qualifications for the practice of law but are not domiciled in New Jersey and do not maintain a fixed physical location for the practice of law in New Jersey. I certify that I meet all qualifications for the practice of law in New Jersey. I designate the Clerk of the Supreme Court as agent on whom service of process may be made in all actions, including disciplinary actions, that may arise out of my practice of law in New Jersey and related activities if service cannot otherwise be effectuated pursuant to the appropriate Rules of Court. 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: Submit the original of this form to: Signature: Clerk of the Supreme Court of New Jersey Hughes Justice Complex, P.O. Box 970 Trenton, NJ 08625-0970 If you have questions about this form, call (609) 984-3078 or e-mail supremect.mailbox@judiciary.state.nj.us. Revised: 02/27/2013, CN: 11712 page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com
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