Petition For Withdrawal Of An Infant'S Funds - New York Supreme Court Page 7

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SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF NASSAU
----------------------------------------------------------------------------x
[54. Index No. & Year]
___________________________________________,
Index No.
[55. Fill in name(s)]
Plaintiff(s)
___________ /
-against-
____________________________________________,
[56 Fill in name(s)]
Defendant(s)
-----------------------------------------------------------------------------x
_____________________________________________________________________
_____________________________________________________________________
[57. Insert name(s) of papers submitted]
[58 YOUR SIGNATURE]
_____________________________________________
[59. PRINT YOUR NAME]
[60. YOUR ADDRESS]
[61. CITY, STATE ZIP CODE]
[62. YOUR PHONE NUMBER]

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