Fillable (Original $50.00 Filing Fee) (Name Change No Fee) (Administrative Office of the Illinois Courts)

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(Original $50.00 Filing Fee) (Name Change No Fee) (Administrative Office of the Illinois Courts)

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BROWSE ADMINISTRATIVE OFFICE OF THE ILLINOIS COURTS (IL) FORMS

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Strike out inapplicable words in parentheses.
(Original $50.00 Filing Fee)
(Renewal for 20 $40.00 Fee)
(Name Change No Fee)
Renewal due on or before January 31 annually.
APPLICATION FOR CERTIFICATE OF REGISTRATION TO ENGAGE
IN THE PRACTICE OF LAW AS A
(Professional Corporation) (Professional Association) (Limited Liability Company) (Registered Limited Liability Partnership)
Supre
me Court
Certificate No.
Name of Law Firm
As of the date hereof, all the (shareholders) (members) (partners) of the aforesaid (professional corporation) (professional
association) (limited liability company) (registered limited liability partnership), organized and existing under and by virtue of the
laws of the State of Illinois or the laws of another state or jurisdiction of the United States, hereby make application for (new)
(renewed) (name change) Certificate of Registration authorizing it to engage in the practice of law within the State of Illinois, and
state as follows:
1. The o
ffice of the (professional corporation) (professional association) (limited liability company) (registered limited liability
partnership) in the State of Illinois is located at the following street address:
,
E-Mail address ______________________________________________________________________________
_______________.
Check here if the address above is for a registered agent
2. It was duly formed under the laws of the State of Illinois (or the State of ) on the day of
, , pursuant to the provisions of Illinois statute or a similar statute of another state or jurisdiction of
the United States.
3. The names and addresses of all the (shareholders) (members) (partners) are (attach additional pages as needed):
(print or type name) (address)
(print or type name) (address)
(print or type name) (address)
(print or type name) (address)
(print or type name) (address)
, City of
Zip __________, Telephone number ________________________________, Fax number ________________________________,
(print or type name) (address)
(print or type name) (address)
(print or type name) (address)
4. It operates on a (calendar) (fiscal) year. Its fiscal year ends on the day of , in
each year.
5. Each
shareholder, officer, and director of the corporation (except the secretary of the corporation), each member of the
association, each member (and each manager, if any) of the limited liability company, or each partner of the registered limited liability
partnership is a member of the bar of each jurisdiction in which such person practices law and that no disciplinary action is pending
against any of them.
6. Un
less the corporation, association, limited liability company, or registered limited liability partnership maintains minimum
insurance or proof of financial responsibility in accordance with Supreme Court Rule 722, the articles of incorporation or association
or organization or the partnership agreement shall provide, and in any event the shareholders, members, or partners shall be deemed to
agree by virtue of becoming shareholders, members, or partners, that all shareholders, members, or partners shall be jointly and
severally liable for the acts, errors and omissions of the shareholders, members, or partners and other employees of the corporation,
association, limited liability company, or limited liability partnership, arising out of the performance of professional services by the
corporation, association, limited liability company, or limited liability partnership while they are shareholders, members, or partners.
Evidence of any such minimum insurance as required by Rule 722(b)(1) or proof of financial responsibility as
required by Rule 722(b)(3) shall be provided with each application for registration by means of an affidavit or verification by
certification under section 1-109 of the Code of Civil Procedure of an authorized shareholder, member, or partner of the firm.
Any affidavit shall be sworn to before a person who has authority under the law to administer oaths. Do not submit insurance
or financial documents with this application.
Please check here if an affidavit or a Section 1-109 certification is enclosed.
IN WITNESS WHEREOF, I, , an authorized shareholder, member, or
(print or type name)
partner, have signed this Application on the day of , 20 , declaring under penalties
of perjury that the statements contained herein are true.
_______ _______ ___________________________________________
(Signature) (Address)
Pl
ease mail your signed and completed application to:
Supreme Court of Illinois
Office of the Clerk
Supreme Court Building
200 East Capitol Avenue
Springfield, Illinois 62701-1721
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(Original $50.00 Filing Fee) (Name Change No Fee) (Administrative Office of the Illinois Courts)

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Completed 13 August 2020

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