Notice Of Appeal - New York Supreme Court

[Fill in the spaces next to the instructions. Other spaces are for Court use.]

SUPREME COURT OF THE STATE OF NEW YORK

COUNTY OF NASSAU

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[1. Index No. & Year]

Index No.

[2. Fill in name(s)]

Plaintiff(s)/Petitioner(s)

NOTICE OF APPEAL

-against-

[3. Fill in name(s)]

Defendant(s)/Respondent(s)

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To the Person (s) Named as Defendant(s) above:

PLEASE TAKE NOTICE THAT [4. Insert Your Name]

hereby appeals to the Appellate Division of the Supreme Court of the State of New York,

from a [5. Insert Judgment/ Order/ Decree]

of the [6. Insert Name of Court]

, Court, Nassau

County, dated [7. Insert date of Judgment/ Order/ Decree]

[8. Date and County papers are signed in]

Dated:

County:

[9. Your Signature]

[10. Your Name]

[11. Your Address]

[12. City, State & Zip Code]

[13. Your Phone Number]

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Parent category: Legal