DC-215 ; STATE OF NEW YORK COUNTY OF Inde. No. Plaintiff, NOTICE OF APPEAL Defendant. PLEASE TAKE NOTICE, that the above named ( ) Plaintiff(s), ( ) Defendant(s), hereby appeal(s) to the Appellate Term of the Supreme Court for the Ninth and Tenth Judicial Districts from the ( ) order of the ( ) judgment Court, County of in this action, entered in the office of the Clerk of said Court on the day of and this appeal is taken from each and every part thereof. Dated: Yours, etc., Copy To: Name Address and Clerk of the Court ( ) Plaintiff ( ) Defendant Name Address Tel. No. ( ) Attorney for Appellant Name Address Tel. No. American LegalNet, Inc. www.USCourtForms.com American LegalNet, Inc. www.USCourtForms.com