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Order - New York Supreme Court

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[Fill in the spaces next to the instructions. Other spaces are for Court use.]

At a(an) lAS/Special Term Part __

of the Supreme Court of the State

of New York, held in and for the

County

Nassau,

the

Courthouse thereof, located at

100

Supreme

Court

Drive,

Mineola, New York on the __ day

of 20______

PRESENT: HON.

Justice of the Supreme Court

----------------------------------------------------------------------------x

[1. Index No. & Year]

Index No.

[2. Fill in name(s)]

Plaintiff(s)

ORDER

-against-

[3. Fill in name(s)]

Defendant(s)

[4. Insert Relief Sought]

-----------------------------------------------------------------------------x

A Motion having been made by [5. Your name]

and having duly come on to be heard on [6. Date the Motion was heard by the Judge

in your case]

for an Order [7. Insert relief requested]

Now upon reading and filing the following papers submitted to the Court, [8. Insert

the name of the documents that were submitted with the motion by both sides.]

and upon the Court’s decision thereon dated [9. Insert the Date of Decision]

, it is

ORDERED, that the motion is granted, and it is further

Order - New York Supreme Court

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