Exception Form To Determination Of Administrative Law Judge - Nyc Page 2
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1
2The Commissioners of the Tribunal are requested to make the following finding(s) of fact and/or conclu-
sion(s) of law (attach separate sheet, if necessary):
Check the appropriate box(es):
A supporting brief is attached hereto.
A supporting brief will be submitted within 45 days of the filing of this Exception.
No brief will be submitted in support of this Exception.
An opportunity for oral argument is requested.
WHEREFORE, the party taking exception respectfully requests that the above-referenced Determination be
reversed or modified on the foregoing grounds. The statements herein are made with the knowledge that a will-
fully false representation is a misdemeanor punishable under section 210.45 of the Penal Law of the State of
New York.
_______________________________________________
____________________________
Signature of Party/Representative*
Date
*If this Exception is signed by a Representative of the party taking exception, attach a duly executed power of attorney.
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