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[Fill in the spaces next to the instructions. Other spaces are for Court use.]
At a(an) lAS/Special Term Part __
of the Supreme Court of the State
of New York, held in and for the
County
of
Nassau,
at
the
Courthouse thereof, located at
100 Supreme Court Drive, Mineola,
New York on the __ day of
20______
PRESENT: HON.______________________________
Justice of the Supreme Court
----------------------------------------------------------------------------x
[42. Index No. & Year]
,
Index No.
[43. Fill in name(s)]
Plaintiff(s)
/
ORDER TO CONFIRMING
-against-
THE REFEREE’S REPORT
OF SALE AND DIRECTING
,
THE DISTRIBUTION OF
[44. Fill in name(s)]
Defendant(s)
SURPLUS MONIES
-----------------------------------------------------------------------------x
UPON the annexed report of sale of [45. Insert Referee Name]
, Esq., the Referee appointed to sell in the proceeding herein,
filed in the Office of the Clerk of the County of Nassau on [46. Insert date Report of Sale
filed]
, the annexed affidavit(s) of [47. Your name(s)]
, sworn to on [48. Date the Affidavit was sworn to
before a notary public]
, 20
, the Certification of the Clerk of
the County of Nassau showing no exceptions to the Referee’s Report of Sale and no claims
to the surplus money other than that of the defendant/fee owner aforementioned, the report
of the Treasurer of the County of Nassau dated on [49. Insert date of report of Treasurer]
, bearing the number [50. Insert Number of Report of
Treasurer]
, showing the amount of [51. Insert the amount on deposit with
Treasurer]$
currently on deposit with the Treasurer, exclusive of interest and
upon all pleadings and proceedings filed heretofore, and it appearing to the satisfaction of

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