index number


Do not write in this space

______________________________COURT
County Clerk, ROCKLAND COUNTY
Application for INDEX NUMBER
pursuant to Sec. 8018 (a) CPLR
FEE $210.00
Spaces below to be TYPED OR PRINTED by applicant.

TITLE OF ACTION OR PROCEEDING



vs.


_________________________________
Name and address of
Attorney for Plaintiff
or Petitioner

________________________________________|
Name and address of
Attorney for Defendant
or Respondent

Indexed and Entered
_____________________________
                                                           (Do not write on line above)

SUBMITTED PAPERS ARE: (Please check one box from each column below)

_____Summons and Complaint _____Contracts
_____Summons W/Notice _____Torts
_____Notice of Petition & Petition _____Tax Certioraries
_____Order to show cause _____Scar Petitions
_____Poor Person Afft./Atty'S Cert. _____Matrimonial
_____Criminal _____Real Property
Other:_____________________________________________________________

THIS FORM MUST BE COMPLETED AND SIGNED BY APPLICANT:_______________________________________
                                                                                                                                                         Signature

__________________________________________________________________________________________________
DO NOT DETACH
Title of Action or Proceeding to be TYPED or PRINTED by applicant.                                                        Index Number

__________________________________________________Court, ROCKLAND county

COMPLETE THIS STUB                                                                                                                                                   

FEE $210.00
NON-REFUNDABLE

                                                                                                                                              

____________________________________________________________________


                                                            VS.


____________________________________________________________________

Endorse this INDEX # on all papers and advise your adversary of the number assigned

 

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