Service of Process Cover Sheet FOR DOS USE ONLY (1) Indicate the name of the entity or person to be served. (See Note 1 below): (2) If serving a domestic entity or an authorized foreign entity, staple the DOS search page(s) (the “Current Status Information” and, if applicable, the “Filing History Information” and/or the “Name History Information”) for the entity to be served to this cover sheet. (3) Indicate the Section of Law under which service is made. Check only one box. (See Note 2 below): Unauthorized Foreign Entities (Applicable fee: $40.00) Domestic or Authorized Foreign Entities (Applicable fee: $40.00) G Business Corporation Law §306 G Business Corporation Law §307 G Not-for-Profit Corporation Law §306 G Not-for-Profit Corporation Law §307 G Limited Liability Company Law §303 G Limited Liability Company Law §304 G Partnership Law §121-109(a) (LP’s) G Partnership Law §121-109(b) (LP’s) G Partnership Law §121-1502 (foreign LLP’s) (must serve a Deputy Secretary of State) Suspended Entities (Applicable fee: $40.00) G Partnership Law §121-1505 (LLP’s) G Business Corporation Law §306-A (suspended BC’s) G Real Property Law §339-n G Limited Liability Co. Law §301-A (suspended LLC’s) G General Associations Law §19 G Partnership Law §121-104-A (suspended LP’s) G Partnership Law §121-1506 (suspended LLP’s) (must serve a Deputy Secretary of State) G Other: specify section of law _________________ and applicable fee (G $40 or G other $________) Vehicle and Traffic Law (Applicable fee: $10.00) G Vehicle and Traffic Law §253 (non-resident) G Vehicle and Traffic Law §254 (former resident) (4) Indicate the manner in which the applicable fee is paid: G Drawdown Account (______________) G Check G Credit Card G Debit Card G Cash G Other G Exempt pursuant to Executive Law §96(10) - process served on behalf of a political subdivision of the State (5) Indicate the name and address of the Process Server: (6) Staple this cover sheet (with the DOS search page(s), if serving a domestic entity or an authorized foreign entity) to the process. (7) (a) If serving a domestic entity or an authorized foreign entity, deliver two (2) duplicate copies of the process being served (with this cover sheet and the DOS search page(s) stapled thereto) and the applicable fee. (b) If serving an unauthorized foreign entity or a suspended entity, or if serving under the Vehicle and Traffic Law, deliver one copy of the process being served (with this cover sheet stapled thereto) and the applicable fee. (See Note 3 below) Note 1: If you attach DOS search page(s), and there is a conflict between the name of the entity as indicated in space “(1)” above and the name on the attached DOS search page(s), the name provided on the attached DOS search page(s) will control. Additionally, if you attach DOS search page(s), and space “(1)” above is left blank, the entity named in the attached DOS search page(s) will be served. Note 2: If you attach DOS search page(s), and there is a conflict between the section of law indicated in space “(3) above and the section of law applicable to the type of entity described in the attached DOS search page(s), the section of law applicable to the entity will control. Note 3: If you are serving an unauthorized foreign entity or a suspended entity, or if you are serving under the Vehicle and Traffic Law, you, or the person on whose behalf service is being made, may also be required to mail notice of service and a copy of the process to the entity or person being served. The Department of State does not make any such mailing. See the applicable section of law for further information. FOR DOS USE ONLY Service of Process Unit Search Results: G Records Located G No Records Located G Entity Name has Changed G Merged Out G Other:______________________________________________________________________________________ Reason for Rejection: G Copies do not Match G 2 Copies Required G Court/Forum not within NYS G Other:_______________________________________________________________ DOS-0277-f-l-a (Rev. 07/11) G Payment not Received or Method not Indicated Date of Rejection:________________ Rejected by: _________ Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com