[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
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[8. Index No. & Year]
,
Index No.
[9. Fill in name(s)]
Plaintiff(s)
/
AFFIDAVIT IN SUPPORT
-against-
,
[10. Fill in name(s)]
Defendant(s)
-----------------------------------------------------------------------------x
STATE OF NEW YORK,
COUNTY OF NASSAU, ss:
I, [11. Your name]
, being duly sworn,
deposes and says:
1) I am the [12. Circle one] plaintiff/defendant, in this action. I make this affidavit
in support of my motion for an order
[13. State what you want the Court’s Order to
provide/grant you include why you should be granted immediate relief pending the
hearing of this motion by the Court. The above statement must also be included in
the Order to Show Cause or Notice of Motion.]