Respondent(s).

CIVIL COURT OF THE CITY OF NEW YORK

COUNTY OF

PART

Index No. LT:

-against-

Petitioner(s), Respondent(s).

AFFIDAVIT IN SUPPORT OF ORDER TO SHOW CAUSE To Restore to the Calendar

Address:

Apt.

State of New York, County of

ss.:

1. PARTY

2. TRIAL

3. REASON FOR APPLICATION

(Print your name)

Tenant's Initials

, being duly sworn, deposes and says:

a) I am the (petitioner/respondent) in the above summary proceeding. b) I am the person claiming possession to these premises and am the

of the tenant named above.

On the Date of Trial a) a stipulation ( a written agreement) was made between landlord and tenant. b) a trial was held before Judge c) Other:

I make this application to Restore the Case to the Calendar because:

4. REQUEST

5. PRIOR ORDER

I request that the case be restored to the calendar and that I be granted permission to serve these papers in person.

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:

6.

The same landlord and tenant have been in Housing Court before. Earlier Index

PRIOR CASES Number(s):

Sworn to before me this

day of

,20

(Signature of Court Employee and Title)

(Signature of Respondent)

CIV-LT-10 (Revised 12/04)

FREE HOUSING COURT FORM No fee may be charged to fill in this form. Form can be found at: .

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