[Fill in the spaces next to the instructions. Attach copies of the indicateddocuments and mark them as exhibits. Sign your name in the presence of anotary public]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) / REQUEST FOR-against-PRELIMINARYCONFERENCE ,[3. Fill in name(s)] Defendant(s)/Respondent(s)-----------------------------------------------------------------------------xThe undersigned requests a preliminary conference.The names, address and telephone numbers of all attorneys/ pro se litigants appearing inthe action are as follows: [4. Plaintiff/Plaintiff Pro Se][5. Defendant/Defendant Pro Se] [Address][Address] [City, State & Zip Code][City, State & Zip Code] [Telephone Number][Telephone Number] Dated: [6. Your Signature] [7. Print your Name] American LegalNet, Inc. www.FormsWorkFlow.com SUPREME COURT OF THE STATE OF NEW YORKCOUNTY OF NASSAU----------------------------------------------------------------------------x ndex No. , / REQUEST FOR [2. Fill in name(s)] -against- PRELIMINARYCONFERENCE ,-----------------------------------------------------------------------------xThe undersigned requests a preliminary conference.The names, address and telephone numbers of all attorneys/pro seappearing inthe are as follows: Dated: American LegalNet, Inc. www.FormsWorkFlow.com