SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF ................................................ : : : : : : Plaintiff(s) : -against: : : : : : Defendant(s) : ................................................ To the above named defendant(s): Index No. SUMMONS Designated county of trial: The basis of the venue designated is: Plaintiff's address (if venue based on residence of plaintiff): Date Summons filed with the clerk of the court: YOU ARE HEREBY SUMMONED and required to serve upon plaintiff s attorney, at the address stated below, an answer to the attached complaint within twenty (20) days after the service of this summons, exclusive of the day of service, or within thirty (30) days after service is complete if this summons was not personally delivered to you within the State of New York; upon your failure to answer, judgment will be taken against you by default for the relief demanded in the complaint. Dated: (Plaintiff s attorney must sign above and type name below) Defendant's(s') Address(es): Attorney(s) for Plaintiff(s) Office and Post Office Address: Telephone No: American LegalNet, Inc. www.FormsWorkflow.com