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 WITH T.R.O. IN SPECIAL PROCEEDING Petitioner(s) vs. , [FILL IN NAME(S)] Respondent(s) -----------------------------------------------------------------X Upon reading and filing the verified petition(s) of [YOUR NAME(S), sworn to on the day of , 20 [LIST ANY OTHER [DATE THE PETITION WAS SWORN TO BEFORE A NOTARY PUBLIC] and upon 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, N.Y./ T 25-10 Court Square, Long Island City, N.Y. [STRIKET HE ONE THAT DOES NOT APPLY] , on the day of , 200 , at o'clock in the noon or as soon as counsel may be heard why an order should not be made [DESCRIBE THE RELIEF BEING SOUGHT] , and why (YOUR NAME), the petitioner(s)/respondent(s) (CROSS OUT ONE), should not have such other and further , relief as may be just, proper and equitable. Pending the hearing of this motion it is ORDERED that [BRIEFLY STATE THE STAY OR TRO YOU ARE SEEKING] 2 American LegalNet, Inc. www.FormsWorkFlow.com 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 , 200 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. 3 3 American LegalNet, Inc. www.FormsWorkFlow.com