Authorization To Discontinue Appeal

STATE OF NEW YORK SUPREME COURT APPELLATE DIVISION FOURTH DEPARTMENT ------------------------------------------Appellant, AUTHORIZATION TO Respondent. ------------------------------------------I, , appellant herein, having taken an appeal from an Order of the _____________ County Family Court, entered on ________________. Now with full understanding as to the facts, circumstances, and possible consequences surrounding such an appeal, I do freely and voluntarily waive my rights to appeal, and I hereby authorized my attorney, _______________________________, to enter into a Stipulation discontinuing my appeal. ________________________________ STATE OF NEW YORK ) COUNTY OF ________) ss: On this ____ day of _______, 2 , before me came , to me known and known to me to be the person described in and who executed the foregoing instrument and such person duly acknowledged before me that he executed the same. _________________________________ NOTARY PUBLIC 2002 © American LegalNet, Inc.