Instructions: Fill in the names of the parties to this case and the Index Number. Complete the blank spaces next to the instructions printed in bold type. PRINT AND USE BLACK INK ONLY. [Other blank spaces are for Court use.] SEQUENCE NO. At IAS 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 Blvd., Jamaica, New York, on the day of , 20 . PRESENT: HON. Justice of the Supreme Court -----------------------------------------------------------------X In the Matter of the Application of , [FILL IN NAME(S)] Index No. / ORDER TO SHOW CAUSE Petitioner(s) vs. SPECIAL PROCEEDING , Respondent(s) [FILL IN NAME(S)] -----------------------------------------------------------------X Upon reading and filing the verified petition(s) of [YOUR NAME(S), sworn to on the day of , 20 [DATE THE PETITION WAS SWORN TO BEFORE A NOTARY PUBLIC] and upon [LIST ANY OTHER SUPPORTING PAPERS, E.G. ADDITIONAL AFFIDAVITS, EXHIBITS] , American LegalNet, Inc. www.FormsWorkFlow.com Let the respondent(s) or his/her/their attorney show cause at IAS Part Room , of this Court, to be held at the Courthouse, 88-11 Sutphin Boulevard, Jamaica, [STRIKE THE ONE THAT DOES NOT APPLY] , , 25-10 Court Square, Long Island City, N.Y. on the day of , 20 , at o'clock in the noon or as soon as counsel may be heard why an order should not be made [DESCRIBE WHAT YOU ARE ASKING THE COURT TO DO] , and why (YOUR NAME), the petitioner(s)/respondent(s) as may be just, proper and equitable. Sufficient cause appearing therefor, let personal service of a copy of this order, and the petition and other papers upon which this order is granted, upon the respondent(s) on or before the day of , 20 be deemed good and sufficient. A copy of an affidavit or other proof of service shall be filed with the Office of the County Clerk of the County of Queens, 88-11 Sutphin Boulevard, Jamaica, N.Y. immediately after service and the original thereof shall be presented to this court on the return date directed in the second paragraph of this order. ENTER: J.S.C. 2 American LegalNet, Inc. www.FormsWorkFlow.com