General Form 38 (Petition for Order Terminating or Severing Lease or Rental Agreement) 9/2007 FAMILY COURT OF THE STATE OF NEW YORK COUNTY OF ..................................................................................... In the Matter of a Proceeding Under Article __ of the Family Court Act Real Property Law §227-c Petitioner Docket No. -againstRespondent ............................................................................................ In the Matter of a Proceeding under Real Property Law §227-c Petitioner-tenant against Respondent(s)-Landlord(s) Docket No. PETITION FOR G TERMINATION G SEVERANCE OF LEASE OR RENTAL AGREEMENT Respondent(s)-Co-tenant(s) ...................................................................................... TO THE FAMILY COURT: The Petitioner respectfully shows that: 1. I make this petition for an order terminating my Goral Gwritten lease or rental agreement with [specify landlord(s)]: at [specify address of premises, including apartment number, if any]:1 I have a G month-to-month G __ year lease or rental agreement that began on [specify date]: and expires on [specify date]: 2. a. I am the G Petitioner G Respondent in the above-named related Family Court proceeding [specify Docket #]: . I am a person protected by G an order of protection G a temporary order of protection issued by G this Court in that proceeding G [Out-of-state orders only]: the following other court of competent jurisdiction [specify court and jurisdiction]: NOTE: If an address confidentiality order has been issued, the address of the premises may be redacted from the copy served upon the person against whom the order of protection has been issued. American LegalNet, Inc. www.FormsWorkflow.com 1 General Form GF-38 Page 2 on [specify date]: b. The order protects G me Gmy child(ren)[specify]: against [specify name of person against whom order was issued]: Among other conditions, it requires him/her to G stay away from G refrain from committing crimes against G me Gmy child(ren). . c. The person against whom the order was issued [check any boxes that apply]: G resides in the above-named leasehold premises G resided in the above-named leasehold premises until [specify]: G is named as a tenant or co-tenant on the lease or rental agreement G is a subtenant of all or part of the leasehold premises. If so, the primary tenant is [specify]: G is not named in the lease but may have a right or claim to reside in or occupy the leasehold premises as a result of my having occupied the premises G none of the above. d. The order of protection expires on [specify date]: 3. The lease or rental agreement regarding the above-named premises Gis Gis not the subject of litigation in any housing, matrimonial or any other proceeding in any other court. [If it is, describe and specify court, status of case and docket or index number, if available]: 4. Despite the G order of protection G temporary order of protection described in Paragraph 2, I believe that if I remain in the premises I and/or my child(ren) will remain at substantial risk of physical or emotional harm from [specify person against whom order was issued]: because of the following facts and circumstances [specify, including names and ages of children, if any]: I believe that if I am permitted to terminate my obligations on this lease or rental agreement, this risk will be substantially reduced. 5. [Applicable to motions to terminate lease or rental agreement]: On [specify date]: , I made G an oral G a written request to the above-named landlord to consent voluntarily to terminate my lease or rental agreement, but G the landlord refused G orally G in writing on [specify date]: OR G the landlord has not responded to my request. [ADD any additional facts, if any, regarding the request to the landlord and response, if any]. 6. G I am the only person named on the lease or rental agreement as tenant or lessee. [If so, skip to paragraph 7]. OR G In addition to me, the following person(s) are named as co-tenants or co-lessees on the lease or rental agreement [specify]: a. G The above-named co-tenant(s) or co-lessee(s) have all consented to the termination of the lease or rental agreement. I am, therefore, requesting that this Court issue an order terminating the lease or rental agreement as of the date specified in the order. OR b. G The following co-tenant(s) or co-lessee(s) refused to consent to the termination of the lease or rental agreement [specify]: I am, therefore, requesting that this Court issue an order severing me from the co-tenancy and terminating American LegalNet, Inc. www.FormsWorkflow.com General Form GF-38 Page 3 my obligation on the lease or rental agreement from the date specified in the order. OR c. G The following co-tenant(s) or co-lessee(s) has not responded as to the termination of the lease or rental agreement [specify]: I am, therefore, requesting that this Court issue an order severing me from the co-tenancy and terminating my obligation on the lease or rental agreement from the date specified in the order. 7. In addition to any persons who may have been named in paragraphs 2 and 6, G there are no other adults 18 or older residing in or occupying the leasehold premises. G the following adults 18 and older reside in or occupy the leasehold premises. [For each person, state whether he or she has consented to vacate the premises and, if so, when]: 8. In addition to any persons who may have been named in paragraphs 2 and 6, G I do not know of any anyone 18 or over who has a right or claim to reside in or occupy the leasehold premises as a result of my having occupied the premises. G The following people 18 or older may have a right or claim a right or claim to reside in or occupy the leasehold premises as a result of my having occupied the premises. [For each person, state whether he or she has consented to the termination or severance of the lease and elimination of those possible rights or claims]: 9. G I have fully met my obligation to pay rent and other payments due on the lease or rental agreement up to [specify date]: and will pay all further rent and other payments due from me up until the date specified by this Court for termination of the lease or rental agreement or severance of my obligation. OR G I have not paid rent or other payments due on the lease or rental agreement since [specify date]: . The following amounts are due and owing to date [specify]: I will pay this amount, as well as rent and