(b) The following form is to be used in a case in which the action is for money only and a formal complaint is not served therewith:

JUSTICE COURT OF THE VILLAGE, TOWN OR CITY OF

COUNTY OF _____

______________

)

Plaintiff, ) Index No .....

) SUMMONS

-against- ) Plaintiff's Residence

) Address:

Defendant. )

______________

To the above-named defendant:

YOU ARE HEREBY SUMMONED and required to appear and answer this endorsed summons in the Justice Court of the Village, Town or City of __, located at __, County of __, State of New York, on the _ day of __, 19, at _ o'clock in the _noon; upon your failure to appear and answer, judgment will be taken against you for the sum of $ __ with interest thereon from the _ day of __, 19 , together with the costs of this action.

Dated: the _ day of __, 19

Statement of the nature and substance of

plaintiff's cause of action:

Attorney(s) for Plaintiff

Post-Office Address Telephone Number

(or, alternatively,

Clerk of the Court)

(c) In an action where a formal complaint is annexed to the summons, the following form of summons shall be used:

JUSTICE COURT OF THE VILLAGE, TOWN OR CITY OF

COUNTY OF _____

______________

)

Plaintiff, ) Index No __

) SUMMONS

-against- ) Plaintiff's Residence

) Address:

Defendant. )

______________

To the above-named defendant:

YOU ARE HEREBY SUMMONED and required to appear and answer this complaint in the Justice Court of the Village, Town or City of __, located at __, County of __, State of New York, on the _ day of __, 19, at _ o'clock in the _noon; upon your failure to appear and answer, judgment will be taken against you for the relief demanded in the complaint, together with the costs of this action.

Dated: the _ day of __, 19

Attorney(s) for Plaintiff

Post-Office Address

Telephone Number