SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF X REQUEST FOR PRELIMINARY CONFERENCE Index No.: Plaintiff(s), - vs - Defendant(s). X The undersigned hereby requests a preliminary conference. The names, address and telephone numbers of all attorneys/pro se litigants appearing in the action are as follows: Attorney for Plaintiff(s) Plaintiff(s), Pro se Attorney for Defendant(s) Defendant(s), Pro se ( ) - ( ) - ( ) - ( ) - Dated: , 20 Signature Print Name American LegalNet, Inc. www.FormsWorkFlow.com