Summons With Notice - New York Supreme Court Page 2

NOTICE: The nature of this action is [13. Insert the type of case against the defendant.]

The relief sought is [14. Describe what you want the Court to grant you.]

Should defendant (s) fail to appear herein, judgment will be entered by default for

the sum of [15. Insert the amount of money demanded] $

with interest from

the date of [16. Insert date from which interest on amount demanded is claimed]

, and the costs of this action.

VENUE: Plaintiff designates Nassau County as the place of trial. The basis of this

designation is [17. Check one]

Plaintiff’s Residence in Nassau County

Defendant’s Residence in Nassau County

Other

[18. Note: This form of summons may not be used in actions for divorce.]

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Parent category: Legal