Petition For Withdrawal Of An Infant'S Funds - New York Supreme Court Page 5

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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
of
Nassau,
at
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
[39. Index No. & Year]
,
Index No.
[40. Fill in name(s)]
Plaintiff(s)
/
ORDER FOR
-against-
WITHDRAWAL OF AN
INFANT’S FUNDS
,
[41. Fill in name(s)]
Defendant(s)
-----------------------------------------------------------------------------x
Upon the Petition of [42.Your Name]
duly
sworn on [43. Insert date petition signed]
, and the
acknowledged consent of the infant [44. Insert infant name]
[45. Insert infant age] age
and upon all supporting papers attached thereto, and
sufficient reason appearing for the granting of the relief sought by the petitioner herein,
Now on the motion of [46.Your Name]
petitioner, it is
ORDERED, that the [47. Insert Name of Bank]
Bank,
located at [48. Insert address of Bank]
,
be and it is hereby authorized and directed to page over to [49. Your Name]
in account number [50. Insert Number]
to the credit of [51. Insert infant name]
, on service upon
[52. Insert Name of Bank]
, of a signed copy of this

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