Notice Of Settlement - New York Supreme Court

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[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
----------------------------------------------------------------------------x
[1. Index No. & Year]
,
Index No.
[2. Fill in name(s)]
Plaintiff(s)/Petitioner(s)
/
NOTICE OF
-against-
SETTLEMENT
,
[3. Fill in name(s)]
Defendant(s)/ Respondent(s)
-----------------------------------------------------------------------------x
PLEASE TAKE NOTICE THAT the attached is a true copy of an [4. Select One]
Order
Judgment [5. Attach copy of Order or Judgment] will be presented to the
[6. Insert Name of Judge/Justice] Hon.
one of the Justices/Judges of the within named court located at
on [7. Insert Date submitted to Court]
.
[8 Insert today’s date and County]
Dated:
County:
[9 Your Signature]
[10 Your Name]
[11. Your Address]
[12. City, State & Zip Code]
To the Plaintiff/Defendant :
[13. Your Phone Number]
[14. Other Party Address]
[15. City, State Zip Code]
[16. Phone Number]

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