Form CIV-LT-22 "Affidavit in Support of an Order to Show Cause to Restore to the Calendar for a Compliance Hearing and for Assessment of Civil Penalties (H.p.)" - New York City

What Is Form CIV-LT-22?

This is a legal form that was released by the New York City Housing Court - a government authority operating within New York City. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2004;
  • The latest edition provided by the New York City Housing Court;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CIV-LT-22 by clicking the link below or browse more documents and templates provided by the New York City Housing Court.

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Download Form CIV-LT-22 "Affidavit in Support of an Order to Show Cause to Restore to the Calendar for a Compliance Hearing and for Assessment of Civil Penalties (H.p.)" - New York City

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Civil Court of the City of New York
County of
Index Number
Housing Part
AFFIDAVIT IN SUPPORT OF AN
ORDER TO SHOW CAUSE
To Restore to the Calendar for
Petitioner,
-against-
a Compliance Hearing and for
Assessment of Civil Penalties (H.P.)
Address:
Respondent(s), and
(Address of Petitioner)
The Dept. of Housing Preservation and Development
Apt.#
State of New York, County of
ss:
being duly sworn, deposes and says:
I
1. PARTY:
I am the
in the above proceeding.
(Petitioner/a [relative/friend/etc.] of the Petitioner)
2. HISTORY: An Order of the Court directing the correction of violations was made, or a stipulation between the
parties was entered into, on
3. FACTS:
The following violations / conditions have not been corrected:
1)
4)
7)
2)
5)
8)
3)
6)
9)
TENANT'S
INITIALS
4. PRIOR
I have not requested a prior Order to Show Cause for a Compliance Hearing in this case.
ORDER
I have requested a prior Order to Show Cause for a Compliance Hearing in this case but I
am making this further application because
5. REQUESTS: I respectfully request that:
- this case be restored to the calendar for a Compliance Hearing and assessment of civil penalties
(fine) against my landlord since violations have not been corrected pursuant to the Court's
Order.
- because I am appearing in person, without an attorney or process server, permission be granted
to serve these papers myself, by Certified Mail, Return Receipt Requested.
- the attached Order be signed.
day of
Sworn to before me this
20
Signature of Petitioner
Signature of Court Employee and Title, or Notary Public
CIV-LT-22 (Revised 4/04) (4ply)
FREE HOUSING COURT FORM
No fee may be charged to fill in this form.
Form can be found at: http://www.nycourts.gov/courts/nyc/housing/forms.shtml.
Civil Court of the City of New York
County of
Index Number
Housing Part
AFFIDAVIT IN SUPPORT OF AN
ORDER TO SHOW CAUSE
To Restore to the Calendar for
Petitioner,
-against-
a Compliance Hearing and for
Assessment of Civil Penalties (H.P.)
Address:
Respondent(s), and
(Address of Petitioner)
The Dept. of Housing Preservation and Development
Apt.#
State of New York, County of
ss:
being duly sworn, deposes and says:
I
1. PARTY:
I am the
in the above proceeding.
(Petitioner/a [relative/friend/etc.] of the Petitioner)
2. HISTORY: An Order of the Court directing the correction of violations was made, or a stipulation between the
parties was entered into, on
3. FACTS:
The following violations / conditions have not been corrected:
1)
4)
7)
2)
5)
8)
3)
6)
9)
TENANT'S
INITIALS
4. PRIOR
I have not requested a prior Order to Show Cause for a Compliance Hearing in this case.
ORDER
I have requested a prior Order to Show Cause for a Compliance Hearing in this case but I
am making this further application because
5. REQUESTS: I respectfully request that:
- this case be restored to the calendar for a Compliance Hearing and assessment of civil penalties
(fine) against my landlord since violations have not been corrected pursuant to the Court's
Order.
- because I am appearing in person, without an attorney or process server, permission be granted
to serve these papers myself, by Certified Mail, Return Receipt Requested.
- the attached Order be signed.
day of
Sworn to before me this
20
Signature of Petitioner
Signature of Court Employee and Title, or Notary Public
CIV-LT-22 (Revised 4/04) (4ply)
FREE HOUSING COURT FORM
No fee may be charged to fill in this form.
Form can be found at: http://www.nycourts.gov/courts/nyc/housing/forms.shtml.