Notice Of Opt-Out From Participation In Proceeding Subject To Mandatory Electronic Filing

SUROGATE'S COURT OF THE STATE OF NEW YORK COUNTY OF -----------------------------------------------------------------x File No. Deceased. -----------------------------------------------------------------x NOTICE OF OPT-OUT FROM PARTICIPATION IN PROCEEDING SUBJECT TO MANDATORY ELECTRONIC FILING Pursuant to Section 207.4-aa of the Uniform Rules for the Trial Courts, I hereby opt out of participation in electronic filing in this mandatory e-filed proceeding. For Attorneys: I certify in good faith that I am unable to participate in mandatory electronic filing of documents in this proceeding on behalf of my client, , because [place your initials in the applicable space]: I lack [check off the applicable box]: G the necessary computer hardware G a connection to the internet G a scanner or other device by which documents may be converted to an electronic format I lack the knowledge regarding operation of computers and/or scanners needed to participate in electronic filing of documents in this case and no employee of mine or of my firm, office or business who is subject to my direction possesses such knowledge. For Self-Represented Litigants [place your initials in the space below]: I choose not to participate in electronic filing of documents in this proceeding. Dated: (Signature) (Name) (Firm Name) (Address) (Phone) This form must be signed. All contact information must be provided, including the address at which hard-copy documents in this case should be served. 12/9/11 American LegalNet, Inc. www.FormsWorkFlow.com