Fillable Corporation/Partnership Registration Legal Document Assistant Santa Cruz County (Santa Cruz County Clerk)

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Corporation/Partnership Registration Legal Document Assistant Santa Cruz County (Santa Cruz County Clerk)

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The Corporation/Partnership Registration Legal Document Assistant Santa Cruz County (Santa Cruz County Clerk) form is 4 pages long and contains:

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  • 20 check-boxes
  • 47 other fields

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Clk 123 Rev 12/2015 Page 1 of 4
Corporation/Partnership Registration – Legal Document Assistant
Santa Cruz County
701 Ocean St., Room 310
Santa Cruz, CA 95060
831-454-2060 / Fax: 831-454-2445 / TTY: 711
www.sccoclerk.com
gail.pellerin@co.santa-cruz.ca.us
Registration Number: ______________ ____
(If a renewal, a new # must be assigned if there is a lapse of three
years or more in the period of registration)
Expiration Date: _________________________
(Two years from date of filing or date bond expires, whichever
comes first)
□ Primary Registration
□ Secondary Registration: __________________
(Name of Primary County)
Filing Fees: Payable to County Clerk
Registration . . . . . . . . . . . . . . . . . . . . . . . $ 191.00
(includes one identification card)
Fee for filing . . . . . . . . . . . . . . . . . . . . . . $ 33.00
Each additional ID card. . . . . .
. . . . . . . . . . $ 10.00
Recording fees: Payable to County Recorder
Fee for Recording Bond (1
st
page) . . . . . . $ 15.00
Each additional page of bond . . . . . . . . . . $ 3.00
(This space reserved for County Clerk use)
Applicant Instructions: Completely fill in all personal information requested in Part A. Check each applicable box in
Parts B-E and provide information as requested for each box that is checked. Attach legible copies and originals of all
documents requested. You must sign the completed application under penalty of perjury.
A. Business and Personal Information
Name of Corporation/Partnership:_____________________________________________________
Business Name:___________________________________________________________________
Business Street Address:____________________________________________________________
Business Telephone Number:_________________________________________________________
Clk 123 Rev 12/2015 Page 2 of 4
Name and Date of Birth of each Corporate Officer or General Partner
Name:____________________________________________________ Date of Birth:_____________
Name:____________________________________________________ Date of Birth:_____________
Name:____________________________________________________ Date of Birth:_____________
Name:____________________________________________________ Date of Birth:_____________
Name:____________________________________________________ Date of Birth:_____________
Number of Legal Document Assistants employed by the corporation or partnership
(please check one box):
1 – 4 ($25,000 bond) 5 – 9 ($50,000 bond) 10 or more ($100,000 bond)
B. Education and Experience (This information must be provided for at least one corporate officer or general
partner):
Name of corporate officer or general partner for whom education and experience information is being
provided: ___________________________________________________________________________
You must qualify under sections 1, 2, 3, or 4 and submit required documentation
1. Paralegal Program/ABA School
I have earned a certificate from a paralegal program that is approved by the
American Bar Association.
(Attach copy of certificate of completion.)
2. Paralegal Program/Non-ABA School
I have earned a certificate of completion from a paralegal program that is institutionally
accredited but that is not approved by the American Bar Association.
(Attach copy of
certificate of completion)
and
I successfully completed a minimum of 24 semesters units (or the equivalent) in legal
specialization courses.
(Attach copy of transcript.)
Number of semester units (or the equivalent):____________
3. College or University
I have a Bachelor’s Degree in _____________________________. (Attach copy of
Diploma
.) (Name of Major)
and
I have completed at least one year of law-related experience working under the
supervision of a licensed attorney.
(Attach original statement on the attorney’s letterhead
signed by the attorney describing the scope and dates of your experience.)
Clk 123 Rev 12/2015 Page 3 of 4
or
I completed at least one year of experience providing self-help service as defined by
Business & Professions Code § 6400 (d) before January 1, 1999.
(Attach original
statement describing the scope and dates of your experience.)
4. High School or General Equivalency Diploma
I have a high school diploma. (Attach copy of diploma.)
or
I have a general equivalency diploma. (Attach copy of diploma.)
and
I have completed at least two years of law-related experience working under the
supervision of a licensed attorney.
(Attach original statement on the attorney’s letterhead,
signed by the attorney, describing the scope and dates of your experience.)
or
I completed at least two years of experience providing self-help service as defined
by Business & Professions Code § 6400 (d) before January 1, 1999
(Attach original
statement describing the scope and dates of your experience.)
Answer each question and check applicable boxes in Sections C, D and E
C. Civil Judgment
▪ Has any officer/partner been held liable in a final judgment or a stipulated judgment entered in a civil
action that alleged fraud, use of an untrue or misleading representation, or use of an unfair,
unlawful or deceptive business practice? Yes
No
Name of Officer/partner for whom there is a judgment:__________________________________
▪ Has any officer/partner had a civil judgment entered against them in an action arising out of negligence,
reckless or willful failure to properly perform obligations as a Legal Document Assistant
or an Unlawful Detainer Assistant? Yes
No
Name of Officer/partner for whom there is a judgment:__________________________________
D. Criminal Conviction (Note: Conviction means a plea or verdict of guilty or a conviction following a
plea of nolo contendere. Any conviction dismissed under Penal Code § 1203.4 must be included.)
▪ Has any officer/partner been convicted of a felony? Yes No
Name of Officer or partner for whom there is a conviction:__________________________________
▪ Has any officer/partner been convicted of a misdemeanor unlawful practice of law or contempt of the
authority of a court under Business & Professions Code § 6126 or 6127?
Yes
No
Name of Officer/partner for whom there is a conviction:__________________________________
Clk 123 Rev 12/2015 Page 4 of 4
▪ Has any officer/partner been convicted of a misdemeanor violation of the provisions on Legal Document
Assistants and Unlawful Detainer Assistants under Business and Professions Code
Section 6400-6416? YES
NO
Name of Officer/partner for whom there is a conviction:_____________________________________
E. Revocation of Registration/Disbarment or Suspension
▪ Has any officer/partner had a registration as a Legal Document Assistant or an Unlawful Detainer
Assistant revoked by a County Clerk under Business and Professions Code § 6413?
YES
NO
Name of Officer/partner for whom there has been a revocation:______________________________
▪ Is any officer/partner presently disbarred or suspended form the practice of law pursuant to Business
and Professions Code § 6100-6127? YES
NO
Date of Disbarment or Suspension:____________________________________________________
Name of officer/partner who has been disbarred or suspended:______________________________
RENEWAL OF REGISTRATION
To be eligible to renew registration, registrant shall complete 15 hours of continuing legal education courses
during the two-year period preceding renewal.
I have completed the legal education courses required by Business and Professions Code Section 6402.2
I declare under penalty of perjury under the laws of the State of California that all information on this application
and on all accompanying documents is true and correct.
*Signature Title
Date Place of Execution
*Signature Title
Date Place of Execution
*Corporate applicant: Application must be signed by: The chairman of the board or the president; or by any
vice president AND the secretary, any assistant secretary, the chief financial officer or any assistant treasurer.
*Partnership applicant: Application must be signed by at least one general partner.
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CorporationPartnership Registration Legal Document Assistant Santa Cruz County (Santa Cruz County Clerk)

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Completed 27 May 2021

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