Revocation Of Authorization - Agent For Service

SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF REVOCATION OF AUTHORIZATION - - AGENT FOR SERVICE I, ________________________, Esq. (Attorney Registration No. ), am an authorized user of the New York State Courts Electronic Filing System ("NYSCEF") (User ID: ) and am the attorney of record for a party in the following cases: Caption Index Number ( Attach additional sheets if needed) By written authorization dated __________________, I authorized and designated ________________________ , a filing agent user, to act as agent for service in the actions listed above. I hereby revoke this authorization for [ ] all of the above-listed cases, or [ ] the cases listed below: Caption Index Number This revocation form shall be filed with the E-Filing Resource Center and posted on the edocket for each of the cases in which the authorization has been revoked. Dated: ____________________ ___________________________ Street Address ___________________________ City, State and Zip Code ____________________________ Phone 7/2/09 ___________________________ Signature ___________________________ Print Name ___________________________ Firm/Department ____________________________ E-Mail Address American LegalNet, Inc. www.FormsWorkFlow.com