SUPREME COURT OF THE STATE OF NEW YORK

I designate my attorney, XX, Esq., Sanctuary for Families, Center for Battered Women’s Legal Services, 30 Wall Street, 8th Floor, New York, New York 10005-3817 as the agent for service of process and all papers in this action. I agree to inform the person named above as the agent for service of process of any change in my address. Dated: DATE ... ................
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