Notice Of Petition - New York Supreme Court Page 7

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SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF NASSAU
----------------------------------------------------------------------------x
In the Matter of the Application of
[44. Index No. & Year]
___________________________________________,
Index No.
[45. Fill in name(s)]
Petitioner(s)
___________ /
-against-
____________________________________________,
[46. Fill in name(s)]
Respondent(s)
-----------------------------------------------------------------------------x
______________________________________________________________________
______________________________________________________________________
[47. Insert name(s) of papers submitted]
_____________________________________________
[48. YOUR SIGNATURE]
_____________________________________________
[49. PRINT YOUR NAME]
_____________________________________________
[50. YOUR ADDRESS]
____________________________________________
[51. CITY, STATE ZIP CODE]
_____________________________________________
[52. YOUR PHONE NUMBER]

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