Instructions: Fill in the Names of the Parties and the Index Number. Complete the blank spaces next to the instructions printed in bold type. PRINT AND USE BLACK INK ONLY. At I.A.S. Part ___ of the Supreme Court of the State of New York, held in and for the County of Queens, at the Courthouse thereof, 88-11 Sutphin Boulevard, Jamaica, New York on the ____ day of _____, 20_. PRESENT: ------------------------------------------------------------------x _____________________________________ [FILL IN NAME(S)] Plaintiff(s) vs. _____________________________________ [FILL IN NAME(S)] Defendant(s) ------------------------------------------------------------------x Now upon reading and filing the annexed affidavit(s) of [INSERT NAME OF PERSON(S) WHO SUBMITTED THE AFFIDAVIT(S)] sworn to on the day of , 20 [DATE THE AFFIDAVIT(S) WAS/WERE SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC], and the exhibits attached thereto, and Index Number __________/____ ORDER EXTENDING PLAINTIFF'S TIME TO SERVE THE SUMMONS after due deliberation having been held thereon, Now upon motion of [INSERT YOUR NAME] it is Ordered that the time of the plaintiff to serve the summons is hereby extended for an additional period of 120 days from the date of this Order. Enter. J.S.C. American LegalNet, Inc. www.FormsWorkFlow.com