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.] 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 , [FILL IN NAME(S)] Index No. / Plaintiff(s) vs ORDER TO SHOW CAUSE FOR CONTEMPT IN CIVIL ACTION , Defendant(s) ----------------------------------------------------------------------X [FILL IN NAME(S)] WARNING: YOUR FAILURE TO APPEAR IN COURT MAY RESULT IN YOUR IMMEDIATE ARREST AND IMPRISONMENT FOR CONTEMPT OF COURT NOTICE: THE PURPOSE OF THE HEARING UPON THE FOLLOWING APPLICATION IS TO PUNISH THE ACCUSED FOR CONTEMPT OF COURT, AND THAT SUCH PUNISHMENT MAY CONSIST OF FINES OR IMPRISONMENT OR BOTH, ACCORDING TO LAW Upon reading and filing the affidavit [YOUR NAME(S)], sworn to on the day of , 20 [DATE THAT YOU SIGNED THE AFFIDAVIT BEFORE A NOTARY PUBLIC], and upon the American LegalNet, Inc. www.FormsWorkFlow.com exhibits attached to the affidavit, [LIST OTHER SUPPORTING PAPERS, ANYTHING YOU WOULD LIKE THE COURT TO LOOK AT THAT SUPPORTS WHAT YOU ARE ASKING FOR] . Let the plaintiff(s)/defendant(s) show cause at IAS Part , Room or his/her/their , of this Court, to be held at the 88-11 Sutphin Boulevard, Jamaica, N.Y.,/ 25-10 Court Square, Long [STRIKE THE ONE THAT DOES NOT APPLY], on the , 20 , at day of o'clock in the forenoon or as soon as counsel may be heard why an order should not be made [DESCRIBE WHAT YOU ARE ASKING THE COURT TO ORDER] 2 American LegalNet, Inc. www.FormsWorkFlow.com . 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 or other proof of service shall be presented to this Court on the return date directed in the second paragraph of this order. ENTER J.S.C. 3 American LegalNet, Inc. www.FormsWorkFlow.com