CIVIL COURT OF THE CITY OF NEW YORK County of Part
Index No.: AFFIDAVIT IN SUPPORT OF AN ORDER TO SHOW CAUSE For
(Relief Requested)
Plaintiff(s)/Petitioner(s)/Claimant(s) -againstDefendant(s)/Respondent(s) State of New York, County of
[Print your name] (INITIALS)
SS:
being duly sworn, deposes and says: 1. Party 2. Request a) I am the party named as (Plaintiff)(Petitioner)(Claimant)(Defendant)(Respondent) in the above entitled proceeding. b) I am I request that the Court issue an Order for:
or grant such other relief as the Court may deem to be just and proper. 3. Defense/ Claim I have a good defense/claim because:
4. Excuse/ Reason 5. Prior Order
I have a good excuse/reason because:
a) I have not had a previous Order to Show Cause regarding this Index Number. b) I have had a previous Order to Show Cause regarding this Index Number but I am making this further application because:
(Sign Name) Sworn to before me this day of , 20 (Print Name) (Address) Signature of Court Employee and Title
CIV-GP-13-i (Revised, 5/04) City, State, Zip Code FREE CIVIL COURT FORM No fee may be charged to fill in this form. Form can be found at: http://www.nycourts.gov/courts/nyc/smallclaims/forms.shtml. Telephone Number