`NYSCEF DOC. NO. 9
`
`INDEX NO. 2023-00023625
`
`RECEIVED NYSCEF: 12/08/2023
`
`SUPREME COURT OF THE STATE OF NEW YORK
`APPELLATE DIVISION :
` DEPARTMENT
`
`STATEMENT OF AUTHORIZATION FOR ELECTRONIC FILING
`
`(Individual Attorney Authorizing Filing Agent)
`
` ),
`, Esq. ( Attorney Registration No.
`I,
`am an authorized user of the New York State Courts Electronic Filing System (“NYSCEF”) (User
`ID
` ). I hereby authorize
` or any employee
`of
` who possesses a NYSCEF filing agent ID (“the filing agent”) to
`utilize his/her NYSCEF filing agent ID to file documents on my behalf and at my direction in
`any e-filed appellate cause or matter in which I am counsel of record through the NYSCEF
`system, as provided in Appellate Division E-Filing Rule 1245.3(e).
`
`This authorization extends to any appeal or transferred matter in which I have entered
`electronically 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 or
`other party, as well as to any cause or matter in which I may authorize the filing agent to take
`such action, as provided in the Appellate Division E-Filing Rules.
`
`This authorization extends to any and all documents I generate and submit to the filing
`agent for filing in any such cause or matter. This authorization shall be e-filed prior to or
`together with the first e-filing by the filing agent. As the principal authorized e-filer, I
`understand 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 make
`in the manner provided by the Appellate Division.
`
`This authorization regarding this filing agent shall continue until I revoke it in writing
`on a prescribed form delivered to the E-Filing Resource Center.
`
`Dated:
`
`
` Signature
`
` Print Name
`
`
` Firm/Department
`
`
` Street Address
`
`City, State and Zip Code
`
`Phone
`
`E-Mail Address
`
`
`
`AD-EF-03A
` (eff. 3/1/18)
`
`1 of 1
`
`
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