Petition For Withdrawal Of An Infant'S Funds - New York Supreme Court printable pdf download

Petition For Withdrawal Of An Infant'S Funds - New York Supreme Court

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

SUPREME COURT OF THE STATE OF NEW YORK

COUNTY OF NASSAU

Present:

Hon.

Justice of the Supreme Court

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[1. Index No. & Year]

Index No.

[2. Fill in name(s)]

Plaintiff(s)

PETITION FOR

-against-

WITHDRAWAL OF AN

INFANT’S FUNDS

[3. Fill in name(s)]

Defendant(s)

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

The petition of [4. Your name]

guardian

of infant [5. Insert infant name]

respectfully shows to

this court:

1. Infant is [6. Insert infant age]

and infant date of birth is

[7. Insert infant date of birth.]

2. Infant resides at [8. Insert Infant Residence]

3. The original bank deposit was [9. Insert Amount]$

and was made on

[10. Insert Date of Deposit]

4. The petitioner received [11. Insert Amount, if none write zero] $

in settlement of the action for loss of services.

Petition For Withdrawal Of An Infant'S Funds - New York Supreme Court