Emergency Affidavit - New York Supreme Court printable pdf download

Emergency Affidavit - New York Supreme Court

[Fill in the spaces next to the instructions. Attach copies of the indicated

documents and mark them as exhibits. Sign your name in the presence of a

notary public]

SUPREME COURT OF THE STATE OF NEW YORK

COUNTY OF NASSAU

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

[1. Index No. & Year]

Index No.

[2. Fill in name(s)]

Plaintiff(s)/Petitioner(s)

EMERGENCY AFFIDAVIT

-against-

[3. Fill in name(s)]

Defendant(s)/Respondent(s)

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

STATE OF NEW YORK,

COUNTY OF NASSAU ss:

I, [4. Your name]

, am the [5. Circle One]

plaintiff/petitioner/defendant/respondent in the above action/special proceeding. I

request immediate judicial review of my

[6. List the document you are presenting]

on the following grounds [7. Describe the reasons you need immediate relief, not the

merits of your underlying case]

[8. Sign your name before a Notary Public]

Sworn to before me this

day of

, 20

[9. Print Your Name]

Notary Public [10. Affidavit must be notarized]

Emergency Affidavit - New York Supreme Court