[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) / SUMMONS-against-Date Index No. ,Purchased [3. Fill in name(s)] Defendant(s)[4. Fill in date]-----------------------------------------------------------------------------xTo the Person (s) Named as Defendant(s) above:PLEASE TAKE NOTICE THAT YOU ARE HEREBY SUMMONED to answer thecomplaint of the plaintiff(s) herein and to serve a copy of your answer on the plaintiff(s) atthe address indicated below within twenty (20) days after the service of this Summons (notcounting the day of service itself), or within thirty(30) days after service is complete if theSummons is not delivered personally to you within the State of New York.YOU ARE HEREBY NOTIFIED THAT should you fail to answer, a judgment will beentered against you by default for the relief demanded in the complaint.[5. Date and County papers are signed in] Dated: County: [6. Your Signature] [7. Your Name] [8. Your Address] [9. City, State & Zip Code [10. Your Phone Number] American LegalNet, Inc. www.FormsWorkFlow.com [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. / SUMMONS [2. Fill in name(s)] -against- Date Index No.Purchased [4. Fill in date] ,[3. Fill in name(s)] Defendant(s)-----------------------------------------------------------------------------xTo the Person(s) Named as Defendant(s) above: PLEASE TAKE NOTICE THAT YOU ARE HEREBY SUMMONED to answer thecomplaint of the plaintiff(s) herein and to serve a copy of your answer on the plaintiff(s) atthe address indicated below within twenty (20) days after the service of this Summons (notcounting the day of service itself), or within thirty(30) days after service is complete if theSummons is not delivered personally to you within the State of New York.YOU ARE HEREBY NOTIFIED THAT should you fail to answer, a judgment will beentered against you by default for the relief demanded in the complaint.[5. Date and County papers are signed in]Dated: County: American LegalNet, Inc. www.FormsWorkFlow.com