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Order To Show Cause In Special Proceeding With Temporary Restraining Order - New York Supreme Court Page 3

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

and mark them as exhibits.]

SUPREME COURT OF THE STATE OF NEW YORK

COUNTY OF NASSAU

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

In the Matter of the Application of

[10. Index No. & Year]

___________________________________________,

Index No.

[11. Fill in name(s)]

Petitioner(s)

___________ /

PETITION

-against-

____________________________________________,

[12. Fill in name(s)]

Respondent(s)

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

TO THE SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF NASSAU:

The petition of [13. Your name]

, being duly

sworn, deposes and says:

1) I am the [14. Circle One] petitioner/respondent, in this special proceeding. I make

this petition in support of my application for an

Order.[15. 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.]

Order To Show Cause In Special Proceeding With Temporary Restraining Order - New York Supreme Court Page 3