[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 Stateof New York, held in and for theCounty of Nassau, at the Courthouse thereof, located at100 Supreme Court Drive,Mineola, New York on the dayof 20PRESENT: HON.Justice of the Supreme Court----------------------------------------------------------------------------x[1. Index No. & Year] ,Index No. [2. Fill in name(s)] Plaintiff(s) / ORDER TO SHOW -against-CAUSE FOR CONTEMPTIN A CIVIL ACTION ,[3. Fill in name(s)] Defendant(s)-----------------------------------------------------------------------------xNOTICE: THE PURPOSE OF THE HEARING IS TO PUNISH THE ACCUSEDFOR A CONTEMPT OF COURT, AND THAT SUCH PUNISHMENT MAY CONSIST OFFINE OR IMPRISONMENT, OR BOTH, ACCORDING TO LAW.WARNING:YOUR FAILURE TO APPEAR IN COURTMAY RESULT IN YOUR IMMEDIATE ARRESTAND IMPRISONMENT FOR CONTEMPT OF COURT American LegalNet, Inc. www.FormsWorkFlow.com Upon the reading and filing the affidavit(s) of [4. Your name(s)] , sworn to on [5. Date the Affidavit was sworn to before a notary public] , 20 and upon the exhibits attachedto the affidavit, and [6. Identify other supporting papers, such as, additional affidavits] Let the plaintiff/defendant(s) or their attorneys show cause at lAS PART Room ,of this Court, to be held at the Courthouse, 100 Supreme Court Drive, Mineola, New York, on , 20 , at o'clock in the noon or as soon as theparties to this proceeding may be heard why an order should not be made, providing thefollowing relief: [7. Describe what you are asking the Court to do] for the reasons that [8.Describe the reasons your request should be granted] Sufficient cause appearing therefor, let service of a copy of this order and the other papers upon which this order is granted, upon the plaintiff(s)/defendant(s), by on or before the day of , 20 be deemed good and sufficient. An affidavit orother proof of service shall be presented to this Court on or before the return date directedin the second paragraph of this order.ENTER J.S.C. American LegalNet, Inc. www.FormsWorkFlow.com PRESENT: HON.Justice of the Supreme Court----------------------------------------------------------------------------x , Index No. / ORDER TO SHOW [2. Fill in name(s)] -against- CAUSE FOR CONTEMPTIN A CIVIL ACTION , -----------------------------------------------------------------------------xNOTICE: THE PURPOSE OF THE HEARING IS TO PUNISH THE ACCUSEDFOR A CONTEMPT OF COURT, AND THAT SUCH PUNISHMENT MAY CONSIST OFFINE OR IMPRISONMENT, OR BOTH, ACCORDING TO LAW.WARNING:YOUR FAILURE TO APPEAR IN COURTMAY RESULT IN YOUR IMMEDIATE ARRESTAND IMPRISONMENT FOR CONTEMPT OF COURT American LegalNet, Inc. www.FormsWorkFlow.com Upon the reading and filing the affidavit(s) of , sworn to on the exhibits attachedto the affidavit, and for the reasons that J.S.C. Let the plaintiff/defeor their attorneys show cause at lAS PART Room ,of this Court, to be held at the Courthouse, 100 Supreme Court Drive, Mineola, New York, Sufficient cause appearing therefor, let service of a copy of this order and the otherpapers upon which this order is granted, upon the plaintiff(s)/deby on or before the day of, 20 be deemed good and sufficient. An affidavit orservice shall be presented to this Court on or before the return date directedin the second paragraph of this order.ENTER American LegalNet, Inc. www.FormsWorkFlow.com