The notice of appeal summarizes that John Doe is appealing a judgment from the County Court of New York County dated January 1st, 2022. It provides the court, date of the judgment being appealed, and notifies the clerk of the trial court and all opponents of the appeal.

1. _______________ Court of the State of New York
County of __________________
PLEASE TAKE NOTICE that (insert your name) __________________________________
hereby appeals to the Appellate Division of the Supreme Court of the State of New York, Second
Judicial Department, from a (insert judgment, order, decree, etc.) __________________________ of the
______________________________ Court, __________________________ County, dated
_____________________________.
Dated: ________________, New York
________________ ___, 20____
Yours, etc.,
NOTICE OF APPEAL
Index No.:
________________________
Signature
(Print Name)
(Address)
(Telephone Number)
To: (Insert below the name and address of the clerk of the trial
court and the names and addresses of all opponents)