[Fill in the spaces next to the instructions. Other spaces are for Court use.]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) / NOTICE OF ENTRY-against- ,[3. Fill in name(s)] Defendant(s)/ Respondent(s)-----------------------------------------------------------------------------xPLEASE TAKE NOTICE THAT the attached is a true copy of an [4. Select One] Order Judgment [5. Attach copy of Order or Judgment] in this matter that wasentered in the Office of the Nassau County Clerk on [6. Insert Date of Entry from Clerks Stamp] .[7. Insert the Date and County] Dated: County: [8. Your Signature] [9. Your Name] [10. Your Address] [11. City, State & Zip Code] To the Plaintiff/Defendant :[12. Your Phone Number] [13. Other Party Address] [14. City, State Zip Code] [15. Phone Number] American LegalNet, Inc. www.FormsWorkFlow.com SUPREME COURT OF THE STATE OF NEW YORKCOUNTY OF NASSAU----------------------------------------------------------------------------x , [1. Index No. & Year]Index No. / NOTICE OF ENTRY [2. Fill in name(s)] -against- ,[3. Fill in name(s)] Defendant(s)/ Respondent(s)-----------------------------------------------------------------------------xPLEASE TAKE NOTICE THAT the attached is a true copy of an [4. Select matter that wasentered in the Office of the Nassau County Clerk on .Dated: County: To the , American LegalNet, Inc. www.FormsWorkFlow.com