ANDREA F. ROCCO Cuyahoga County Clerk of Courts

ANNaDilaRhEAKF. .BRyOrdCCO

Cuyahoga County Clerk of Courts

Electronic Filing Department 1200 Ontario Street

Cleveland, OH 44113 (216) 698-8682

Efile_support@cuyahogacounty.us

Electronic Filing Coordinator

Electronic Filing Registration Formd Drive

Cleveland, OH

E-FILE REGISTRATION FORM

Attorney

Firm Support Staff

Pro se

Electronic Filing Registration

Registrant's Name:

____________________________________________________________

OA(FtohtroioArtntAoertnyteoyBrAnacercyoNuBnutasmrObNnelyur):mber: ___________________________________________S__ta_t_e_:____________

Law Firm:

____________________________________________________________

Mailing Address:

____________________________________________________________

City, State, Zip:

____________________________________________________________

Phone Number:

____________________________________________________________

Fax Number:

____________________________________________________________

E-mail Address:

____________________________________________________________

ICf pornotascet ,Pcearssoen#: on which y_o_u__a_re__e_-_fi_li_n_g________________________________________________________________

I hereby agree to pay to the Clerk of Courts all charges incurred by me in using the Clerk of Courts' Electronic Filing System. These charges shall include the litigation fees, costs and expenses set by statute and by local court rule in the amoIuhnetrseabnydagarseuestuoapllayyatnodthcuesCtolemrkaroilfyCaosusertsssaeldl clihtiagragnetss ibnycuthrreeCd lbeyrkmoef Cinouusrtisn.gItuhnedCelresrtkanodf Cthoautrtthse' rEeleisctnrooncicosFtilpinegr se fSorysutseinmg. thTeheCsleerckhoafrgCeosusrthsa' Ell liencctlruodneicthFeililnitgigSatyiosntefmeeasn,dcothsatst tahnedaebxopveencsoesstsseatrbeythsetaotuntley oannedsbfyorlowcahlicchouI ratmrule in respthoensaibmleo.uInhtseraenbdy aasutuhsouraizlelytahnedCcleursktoomf CaroiluyrtasstsoescsheadrgleitigbaynAtsmbeyricthaen CExleprrkesosf ,CDoiusrctosv. eI ru,nMdaesrstetarCndartdhaotr tVhiesrae is no accocousntt tpheer fseeesfo, rcousstisn,gatnhdeeCxlpeerknsoefsCdoiruerct'tslyEcloencntreocntiecdFwiliinthgthSeysctoeumrt adnodcuthmaetntthseealebcotrvoencicoaslltys failered tbhyemoen.ly ones for

which I am responsible.

It is my understanding that this Electronic Filing Account may be revoked by me at any time for any reason and without expIlahnearteiobny, abuutthIoarilzseo uthnedeCrlsetraknodfthCaotumrtsy dtooicnhgasrgoewmillyinAvmaleidraictaenaEnyxperleescstr,oDniicscfoilivnegrs, MmaasdteertChearredaoftrerVuisnatilAaccnoeuwnt the Elecfetreosn,iccFoislitnsg aAncdcouenxpt eisncsreesateddireocrtlryesctoornende.cted with the court documents electronically filed by me. It is my

understanding that this Authorization may be revoked by me at any time for any reason and without explanation,

I unbduetrsItaalnsdo tuhnadt ethrsetaCnledrtkhoaft Cmoyudrtosincgolsleocwtsildl aintvaaolindamtey aancytioenlescptreornfoicrmfileindgisnsmidaedethteheerleecatfrtoenr iucnFtiilliangnSewysAteumth.oIriazagtrieoen thatismryesEtloercetdro. nic Filing account is unique to me and my ID and password should not be shared with anyone. I agree

that I will be held responsible for all actions performed by my account. I also agree to be bound by the policies, procedures, forms and local rules governing the use of electronic filing in

thBeyccohuertcskoinfgCtuhyisahboogx,aICsotautnettyhaast ImhoarveefruellaydetxhpelaEinleecdtrionntihceFmilinagteTriaelrsmpsroovf iUdesde toonmwewbwy.uleyarkhoogf aCcoouurntst.y.us.

I agree to be bound by the terms of use, conditions stated above, policies, procedures, forms and local rules governing

the use of electronic filing in the courts of Cuyahoga County as more fully explained in the materials provided to me by

the Clerk of Courts.

Signature:

____________________________________________________________

Printed Name:

____________________________________________________________

Date Signed:

e-signature

____________________________________________________________

date

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