Notice Of Entry - New York Supreme Court Page 2

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SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF NASSAU
----------------------------------------------------------------------------x
[16. Index No. & Year]
,
Index No.
[17. Fill in name(s)]
Plaintiff(s)
/
-against-
,
[18. Fill in name(s)]
Defendant(s)
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[19. Insert name(s) of papers submitted]
[20. Your Signature]
[21. Your Name]
[22. Your Address]
[23. City, State & Zip Code]
[24. Your Phone Number]

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