[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 theCourthouse thereof, located at100 Supreme Court Drive,Mineola, New York on the dayof 20PRESENT: HON.Justice of the Supreme Court----------------------------------------------------------------------------xIn the Matter of the Application of[1. Index No. & Year],Index No.[2. Fill in name(s)] Petitioner(s)/ORDER TO SHOW -against-CAUSE INSPECIAL PROCEEDING,WITH TEMPORARY[3. Fill in name(s)] Respondent(s)RESTRAINING ORDER-----------------------------------------------------------------------------xUpon the reading and filing the petition(s) of [4. Your name(s)], sworn to on [5. Date the Verified Petitionnotarized] , 20 and upon the exhibits attached to the petition,and [6. Identify other supporting papers, such as, additional affidavits] Let the respondent(s) show cause at lAS PART, Room , of this Court, tobe held at the Courthouse, 100 Supreme Court Drive, Mineola, New York, on , 20 , at o'clock in the noon or as soon as the parties to thisproceeding may be heard why an order should not be made, providing the following relief: American LegalNet, Inc. www.FormsWorkFlow.com [7. Describe what you are asking the Court to do] for the reasons that [8.Describe the reasons your request should be granted] Pending the hearing of this motion it is; Ordered that [9. State what you want the Court to stay/stop.] Sufficient cause appearing therefor, let personal service of a copy of this order, andthe petition and all other papers upon which this order is granted, upon all parties to thisproceeding, on or before , 20 be deemed good and sufficientservice hereof. An affidavit or other proof of service shall be submitted to this Court on orbefore the return date directed in the second paragraph of this order.ENTERJ.S.C. American LegalNet, Inc. www.FormsWorkFlow.com [1. Index No. & Year]Index No./ORDER TO SHOW CAUSE INSPECIAL PROCEEDINGWITH TEMPORARYRESTRAINING ORDER PRESENT: HON.Justice of the Supreme Court----------------------------------------------------------------------------xIn the Matter of the Application of,[2. Fill in name(s)] Petitioner(s)-against-,Respondent(s)-----------------------------------------------------------------------------x , sworn to on , 20 and upon the exhibits attached to the petition,and Let the respondent(s) show cause at lAS PART, Room , of this Court, tobe held at the Courthouse, 100 Supreme Court Drive, Mineola, New York, on , 20 , at o'clock in the noon or as soon as the parties to thisproceeding may be heard why an order should not be made, providing the following relief: American LegalNet, Inc. www.FormsWorkFlow.com for the reasons that Pending the hearing of this motion it is Ordered that Sufficient cause appearing therefor, let personal service of a copy of this order, andthe petition and all other papers upon which this order is granted, upon all parties to thisproceeding, on or before , 20 be deemed good and sufficientservice hereof. An affidavit or other proof of service shall be submitted to this Court on orbefore the return date directed in the second paragraph of this order.ENTERJ.S.C. American LegalNet, Inc. www.FormsWorkFlow.com