Summons With Notice

Form For Authorized Attorney's Only

Security

Unique Pin (Required)

Email of person completing this form (required)

Today's Date:

Party Information

Plaintiff

Plainitff's Name

Defendant

Defendant's Name
Defendant's name and address or Defendant's Attorney name and address Street Address City, State Zip

Venue Information

Index Number
Date Summons Filed
County of Venue
Court Name
Basis of Venue
Address upon which venue based
Is Plaintiff Pro Se or Represented by Attorney

Pappers to be served on Plaintiff, at Plaintiff's address:Name and Address

Plaintiff's Attorney Information

Attorney Name:
Anne C. DiMatteo, Esq. 5828 Ashler Court, Hamburg, New York 14075 Attorney Email: anne.dimatteo@gmail.com"] Attorney Phone: 1-716-491-1670 (Phone) Fax: 1-716-646-0258 (Fax)

Information From Parties Separation Date of Parties Separation Agreement (Accurate Date Required):