SUPREME COURT OF THE STATE OF NEW YORKCOUNTY OF NASSAU----------------------------------------------------------------------------x[1. Index No. & Year] ,Index No. [2. Fill in name(s)] Plaintiff(s)/Petitioner(s) / CERTIFICATION-against-PURSUANT TO 22 NYCRR 130-1.1-a ,[3. Fill in name(s)] Defendant(s)/Respondent(s)-----------------------------------------------------------------------------xI hereby certify that all of the papers that I have served, filed or submitted to the court in thisaction/proceedings (as indicated by the check marks below) are not frivolous as defined insubsection c of Section 130-1.1 of the Rules of the Chief Administrator of the Courts.GNote of IssueGPoor Person OrderGOrder permitting alternative serviceGSummons or Summons with NoticeGVerified ComplaintGAffidavit of Service or Defendant222sWaiverGNotice of AppearanceGAffidavit or Affirmation of RegularityGAffidavit of Military Status orInvestigatorGPlaintiff222s AffidavitGAffidavit of Witness GExhibits GDefendant222s AffidavitGPetitionGConsent of InfantGConsent of SpouseGEmergency AffidavitGAffidavit in Support of TRO againstpublic officers, etc.GDecisionGJudgmentGReply AffidavitGNotice of Entry GOther [4. Date] Dated: [5. Plaintiff Signature] [6. Print Name]Duly Sworn to before me this day of , 20 [7. Notary Public] American LegalNet, Inc. www.FormsWorkFlow.com SUPREME COURT OF THE STATE OF NEW YORKCOUNTY OF NASSAU----------------------------------------------------------------------------x [1. Index No. & Year]Index No. ,Plaintiff(s)/Petitioner(s) / CERTIFICATION [2. Fill in name(s)] -against- PURSUANT TO 22 NYCRR 130-1.1-a ,[3. Fill in name(s)] Defendant(s)/Respondent(s)-----------------------------------------------------------------------------xI hereby certify that all of the papers that I have served, filed or submitted to the court in thisaction/proceedings (as indicated by the check marks below) are not frivolous as defined insubsection c of Section 130-1.1 of the Rules of the Chief Administrator of the Courts. GNote of IssueGPoor Person OrderGOrder permitting alternative serviceGSummons or Summons with NoticeGVerified ComplaintGAffidavit of Service or Defendant222sWaiverGNotice of AppearanceGAffidavit or Affirmation of RegularityGAffidavit of Military Status orInvestigatorGPlaintiff222s AffidavitGAffidavit of Witness GExhibits GDefendant222s AffidavitGPetitionGConsent of InfantGConsent of SpouseGEmergency AffidavitGAffidavit in Support of TRO againstpublic officers, etc.GDecisionGJudgmentGReply AffidavitGNotice of Entry GOther [4. Date] Dated: Duly Sworn to before me this day of , 20 American LegalNet, Inc. www.FormsWorkFlow.com