Client Intake Form – Part III Employment, Income and Equitable Distribution (Continued) Summons With Notice Form For Authorized Attorney's Only Security Unique Pin (Required) Email of person completing this form (required) Today's Date: JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember12345678910111213141516171819202122232425262728293031201820192020 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 VenueERIENIAGARACATTARAUGUSCHAUTAUQUA Court NameSupreme Basis of VenuePlaintiff's ResidenceDefendants Residence Address upon which venue based Is Plaintiff Pro Se or Represented by AttorneyRepresented by an AttorneyPro se Plaintiff 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): Not Filed YetJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberNot Filed Yet12345678910111213141516171819202122232425262728293031Not Filed Yet201820192020 Δ Share this:TweetPocketWhatsAppShare on Tumblr