In submitting this form, I the owner of the aforementioned property assert that I am not desirous of selling such property and hereby revoke my implied invitation to solicit for the sale or purchase of such property in any manner whatsoever and do not wish to receive any communication of whatever nature relating to such sale or purchase from any real estate broker or salesperson.

I hereby request you, by the virtue of the power vested in you as Secretary of State, pursuant to Article 12A of the Real Estate Property Law, issue a Cease and Desist Order to all licensed brokers and salespersons from solicitation of the said property, until such time as I notify you in writing.

FOR VERIFICATION PURPOSES, PLEASE ENTER THE LAST FOUR (4) DIGITS OF YOUR HOME PHONE NUMBER:

Last Four Digits of Home Phone No.:

NOTE: Completion of this form and the issuance of a Cease and Desist Order do not prevent an owner from selling or listing his home for sale with a real estate broker.

The Cease and Desist Zone Registration list is updated in January and July.