[Fill in the spaces next to the instructions. Other spaces are for Court use.]
At a(an) lAS/Special Term Part __
of the Supreme Court of the State
of New York, held in and for the
County
of
Nassau,
at
the
Courthouse thereof, located at
100
Supreme
Court
Drive,
Mineola, New York on the __ day
of 20______
PRESENT: HON.
Justice of the Supreme Court
----------------------------------------------------------------------------x
In the Matter of the Application of
[1. Index No. & Year]
,
Index No.
[2. Fill in name(s)]
Plaintiff(s)
/
ORDER EXTENDING
to continue a Mechanic’s Lien against,
MECHANIC’S LIEN
,
[3. Fill in name(s)]
As Owner, and
,
[4. Fill in name(s)]
As Contractor.
-----------------------------------------------------------------------------x
Now upon reading and filing the annexed affidavit of [5. Your name]
, duly sworn to on [6. Date the Affidavit was sworn
to before a notary public]
and upon the notice of mechanic’s lien
thereto attached, and the Court being satisfied that the lien should be continued;
Now upon motion of [7. Your name]
, it is
ORDERED, that the motion is hereby granted; and it is further
ORDERED, that the lien filed by [8. Your name]
,
in the Office of the Clerk of the County of Nassau, and docketed by the Clerk on [9. Insert
date of docketing of original lien]
, against [10. Insert
name of Owner]
, as Owner and [11. Insert Name of
Contractor]
, as Contractor, upon the real property and