[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 WITH -against-NOTICE ,[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 appear in thisaction by serving a notice of appearance on the plaintiff(s) at the address set forth below,and to do so within twenty (20) days after the service of this Summons, or within thirty(30)days after service is complete if the Summons is not delivered personally to you within theState of New York.YOU ARE HEREBY NOTIFIED THAT should you fail to answer or appear, ajudgment will be entered against you by default for the relief demanded below.[4. Date and County papers are signed in] Dated: County: [5. Your Signature] [6. Your Name] [7. Your Address] [8. City, State & Zip Code To the Defendant:[9. Your Phone Number] [10. Defendant Address] [11. City, State Zip Code] [12. Phone Number] American LegalNet, Inc. www.FormsWorkFlow.com NOTICE: The nature of this action is [13. Insert the type of case against the defendant.] The relief sought is [14. Describe what you want the Court to grant you.] Should defendant (s) fail to appear herein, judgment will be entered by default for the sum of [15. Insert the amount of money demanded] $ with interest fromthe date of [16. Insert date from which interest on amount demanded is claimed] , and the costs of this action. VENUE: Plaintiff designates Nassau County as the place of trial. The basis of thisdesignation is [17. Check one] Plaintiff222s Residence in Nassau County Defendant222s Residence in Nassau County Other [18. Note: This form of summons may not be used in actions for divorce.] 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 WITH [2. Fill in name(s)] -against- NOTICE ,[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 appear in thisaction by serving a notice of appearance on the plaintiff(s) at the address set forth below,and to do so within twenty (20) days after the service of this Summons, or within thirty(30)days after service is complete if the Summons is not delivered personally to you within theState of New York.YOU ARE HEREBY NOTIFIED THAT should you fail to answer or appear, ajudgment will be entered against you by default for the relief demanded below.[4. Date and County papers are signed in]Dated: County: To the Defendant: American LegalNet, Inc. www.FormsWorkFlow.com NOTICE: The nature of this action is The relief sought is and the costs of this action. VENUE: Plaintiff designates Nassau County as the place of trial. The basis of thisdesignation is Plaintiff222s Residence in Nassau County Defendant222s Residence in Nassau CountyOther Should defendant (s) fail to appear herein, judgment will be entered by default forthe sum of $ with interest fromthe date of American LegalNet, Inc. www.FormsWorkFlow.com