SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF -----------------------------------------------------x Plaintiff(s)/Petitioner(s), Index No. - against - Defendant(s)/Respondent(s). ------------------------------------------------------x NOTICE TO COUNTY CLERK ­ CPLR § 8019(c) By order dated ______________________ , and entered on ______________________ , the Court directed the County Clerk to make an entry on the docket of this matter. As required by CPLR § 8019 (c), notice of the order is hereby given to the County Clerk with the request that the County Clerk make such entry. Dated: (Name) (Firm) (Address) (Phone) (Fax) (E-Mail) Attorney(s) for [THE ORDER MUST ACCOMPANY THIS NOTICE AS A SINGLE PDF] 3/19/12 American LegalNet, Inc. www.FormsWorkFlow.com