Attorney Exemption Certification

SUPREME COURT OF THE STATE OF NEW YORK APPELLATE DIVISION 226 DEPARTMENT------------------------------------------------------------------xPlaintiff/Petitioner, - against -Case No. Defendant/Respondent.------------------------------------------------------------------xATTORNEY EXEMPTION CERTIFICATION Pursuant to CPLR 247247 2111(b)(3) and 2112 and Rule 247 , I hereby exercise mystatutory exemption by certifying in good faith that I am unable to participate in electronic filing of documents in this matter on behalf of my client, , because: [Place your initials in the space(s) provided and check all boxes that apply] I lack:G the necessary computer hardware and/or G [a] connection to the internet and/orG [a] scanner or other device by which documents may be converted to anelectronic formatOR I lack the requisite knowledge in the operation of such computers and/or scannersneeded to participate in electronic filing of documents in this matter, pursuant to CPLR2472111(b)(3(A) or (B) [and no employee of mine or of my firm, office or business who is subjectto my direction possesses such knowledge].I understand that this exemption from participation in electronic filing requires that I fileand serve all court documents in hard copy and that other parties to this matter are required toserve me with documents in hard copy.I further understand that I am required submit to the court an additional unbound copy ofeach document that I file in hard copy with the court. Dated: (Signature) (Name) American LegalNet, Inc. www.FormsWorkFlow.com (Firm Name) (Address) (Phone) This form must be signed. All contact information must be provided, including the address atwhich hard-copy documents in this matter should be served.This form must be filed with the clerk of the court where the matter is pending and served on allparties. 7/19/17 American LegalNet, Inc. www.FormsWorkFlow.com