IN THE SUPREME COURT OF THE STATE OF DELAWARE
EMPLOYER REPORT OF CHANGE OF REGISTRANT STATUS
UNDER RULE 55.3
Employer of Registrant holding a Delaware Certificate of Limited Practice Pursuant to Rule 55.3 hereby gives notice to the Court that:
[the employment of [REGISTRANT'S NAME] has ended effective as of [Date].]
[the active membership of [REGISTRANT'S NAME] in the Bar of [Jurisdiction] has changed to inactive/emeritus/senior status effective as of [Date]]
[it has been advised that [REGISTRANT'S NAME] is the subject of disciplinary measures imposed by the Bar of [Jurisdiction] effective as of [Date].]
Signature of United States Attorney for the District of Delaware
Printed Name of United States Attorney for the District of Delaware
Dated: ____________
Del. R. Sup. Ct. Form 5