SURROGATE’S COURT OF THE STATE OF NEW YORK
COUNTY OF
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ATTORNEY’S CERTIFICATION
a/k/a (22 NYCRR 207.4 (a) & (b))
File No. ____________________
Deceased.
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The undersigned attorney hereby certifies pursuant to Sections 207.4 (a) and (b)
of the Uniform Rules for Surrogate’s Court, that the typeface utilized complies with
subsection (a) of the aforesaid rule and the text used in the foregoing forms is the same
contained in the official forms and that the substantive text has not been altered.
Signature of Attorney : _______________________________________________________________
Print Name : _______________________________________________________________________
Firm Name : ____________________________________ Tel. No. : __________________________
Address of Attorney: ________________________________________________________________