Summons - 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)
/
SUMMONS
-against-
Date Index No.
,
Purchased ____________
[3. Fill in name(s)]
Defendant(s)
[4. Fill in date]
-----------------------------------------------------------------------------x
To the Person (s) Named as Defendant(s) above:
PLEASE TAKE NOTICE THAT YOU ARE HEREBY SUMMONED to answer the
complaint of the plaintiff(s) herein and to serve a copy of your answer on the plaintiff(s) at
the address indicated below within twenty (20) days after the service of this Summons (not
counting the day of service itself), or within thirty(30) days after service is complete if the
Summons is not delivered personally to you within the State of New York.
YOU ARE HEREBY NOTIFIED THAT should you fail to answer, a judgment will be
entered against you by default for the relief demanded in the complaint.
[5. Date and County papers are signed in]
Dated:
County:
[6. Your Signature]
[7. Your Name]
[8. Your Address]
[9. City, State & Zip Code
[10. Your Phone Number]

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