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Process Serving Agency Recordkeeping Certification - Nyc Department Of Consumer Affairs

42 Broadway

PROCESS SERVING AGENCY

New York, NY 10004

RECORDKEEPING CERTIFICATION

Dial 311

(212-NEW-YORK)

Process Serving Agency Name:

nyc.gov/dca

Process Serving Agency

DCA License Number

(if applicable):

Business Address:

I affirm the following:

1. I am authorized (e.g., owner, sole proprietor, general partner,

director, corporate officer, or shareholder owning 10% or more of

company stock) to complete and sign this certification on behalf of the

Process Serving Agency named above.

2. I have read section 20-406.3 of the New York City Administrative Code

and sections 2-233 and 2-233a of Title 6 of the Rules of the City of New

York (6 RCNY).

3. The Process Serving Agency named above will keep electronic records

of each process served or attempted for at least seven (7) years in

compliance with 6 RCNY section 2-233a. Records must include

information required in section 89-cc of the New York State General

Business Law and 6 RCNY 2-233. I understand that tampering with

electronic records is prohibited.

4. The Process Serving Agency named above will keep complete and

accurate records of each Process Server Individual who serves process

on behalf of the Agency. All individuals, including those who serve

process exclusively as employees for the Agency, are listed on the

Roster of Process Servers.

5. I understand that falsification of any statement made herein is an offense

punishable by a fine or imprisonment or both.

_______________________________

Signature

Print Name

_______________________________

Position/Title

Date

Process Serving Agency Recordkeeping Certification - Nyc Department Of Consumer Affairs