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Revocation Of Authorization - Agent For Service Form. This is a New York form and can be use in Supreme Court Statewide.
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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filed with the E-Filing Resource Center and posted on the edocket for each of the cases in which the authorization has been revoked.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
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