UNITED STATES DISTRICT COURT EASTERN DISTRICT OF NEW YORK
Plaintiff, -against-
NOTICE OF MOTION -cv( 1
SIRS: PLEASE TAKE NOTICE that upon the attached affidavit or affirmation of (Plaintiff' name) s
, sworn to or affirmed (Affidavit Date) , 19_, and upon
the complaint herein, plaintiff will move this court, Room I United States Courthouse,
I
(Judae' Namel, U.S.D.J., in s
(Courthouse Address) , on the day of
199-r
at (Time of DavZ or as soon thereafter as counsel can be heard,
for an order pursuant to Rule of the Federal Rules of Civil Procedure granting _ (State What You Want The Court To Order)
Dated: Brooklyn, New York ,199 Signature
Print Name of Plaintiff, Pro Se
Address
TO: (Put Name and Address of Each Defendant' Attorney) s
UNITED STATES DISTRICT COURT EASTERN DISTRICT OF NEW YORK
Plaintiff, -against-
MEMORANDUM OF LAW -cv( 1
Defendant.
STATE OF NEW YORK COUNTY OF
1 ) 1
ss.:
(Plaintiff' Name) , being duly sworn, deposes and says (or makes the s following affirmation under the penalties of perjury): 1, (Plaintiff' Name) s am plaintiff in the above-entitled action, and
respectfully move this Court to issue an order (specify what you want the Court to Order)
The reason why I am entitled to the relief I seek is the following: (State Reason)
WHEREFORE, I respectfully request that the Court grant the within motion, as
well as such other and further relief as may be just and proper.
Signature
Print Name Sworn to before me this day of I19
Notary Public
*OR*
I declare under penalty of perjury that the foregoing is true and correct.
Executed on
(Date)
Signature
Print Name
UNITED STATES DISTRICT COURT EASTERN DISTRICT OF NEW YORK
--__________________________________________________x
Plaintiff, -againstAFFIRMATION OF SERVICE -cv( 1
Defendant. ________________________________________~~~~~~~_____ X
1,
a copy of the attached
I
declare under penalty of perjury that I have served
upon by mailing it to whose address is:
Dated: Brooklyn, New York
I19
Signature
Print Name
Address
City, State, Zip Code