Order Extending Mechanic'S Lien - New York Supreme Court Page 5
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5SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF NASSAU
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In the Matter of the Application of
[33. Index No. & Year]
,
Index No.
[34. Fill in name(s)]
Plaintiff(s)
/
to continue a Mechanic’s Lien against,
,
[35. Fill in name(s)]
As Owner, and
,
[36. Fill in name(s)]
As Contractor.
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[37. Insert name(s) of papers submitted]
[38. YOUR SIGNATURE]
[39. PRINT YOUR NAME]
[40. YOUR ADDRESS]
[41. CITY, STATE ZIP CODE]
[42. YOUR PHONE NUMBER]
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