Free Notice of Appeal - New York

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State: New York
Category: Court Forms - State
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Civil Court of the City of New York
County of Part Index Number

Claimant(s)/Plaintiff(s)/Petitioner(s), -against-


Defendant(s)/Respondent(s) PLEASE TAKE NOTICE that the Appellant, hereby appeals to the Appellate Term of the Supreme Court, First/Second Department, from
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the Order/Judgment by the Hon.
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Judge of the Civil/Housing Court of the City of New York, entered in the office of the Clerk of
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said Court on

, and from each and every part thereof.


Appellant's Signature: Appellant's Name:



Appellant's Phone:

CIV-GP-67A (Revised October, 2003)

FREE CIVIL COURT FORM No fee may be charged to fill in this form. Form can be found at: