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SUPREME COURT OF THE STATE OF NEW YORKAPPELLATE DIVISION : DEPARTMENT STATEMENT OF AUTHORIZATION FOR ELECTRONIC FILING(Individual Attorney Authorizing Filing Agent)I, , Esq. ( Attorney Registration No. ),am an authorized user of the New York State Courts Electronic Filing System (223NYSCEF224) (UserID ). I hereby authorize or any employee of who possesses a NYSCEF filing agent ID (223the filing agent224) toutilize his/her NYSCEF filing agent ID to file documents on my behalf and at my direction inany e-filed appellate cause or matter in which I am counsel of record through the NYSCEFsystem, as provided in Appellate Division E-Filing Rule 1245.3(e). This authorization extends to any appeal or transferred matter in which I have enteredelectronically my initializing information, any original proceeding I have commenced by e-filing,or any cause or matter in which I have entered electronically information as a respondent orother party, as well as to any cause or matter in which I may authorize the filing agent to takesuch action, as provided in the Appellate Division E-Filing Rules.This authorization extends to any and all documents I generate and submit to the filingagent for filing in any such cause or matter. This authorization shall be e-filed prior to ortogether with the first e-filing by the filing agent. As the principal authorized e-filer, Iunderstand that I retain full responsibility for any document e-filed by the filing agent.This authorization also extends to matters of payment, which the filing agent may makein the manner provided by the Appellate Division. This authorization regarding this filing agent shall continue until I revoke it in writingon a prescribed form delivered to the E-Filing Resource Center.Dated: SignatureCity, State and Zip Code Print NamePhone Firm/DepartmentE-Mail Address Street AddressAD-EF-03A (eff. 3/1/18) American LegalNet, Inc. www.FormsWorkFlow.com