STATE OF NEW YORK, COUNTY OF [specify name of county]
[specify name of town] JUSTICE COURT

In the matter of the Petition of:
 
[specify name of impounding organization]
                                                                             
against

[specify name of Defendant]
                                                                             
To post a security for the cost of providing animal care under Section 373,
Sub-division 6, of Article 26 of the Agriculture and Markets Law.	

Upon the pleadings and proceedings heretofore filed and upon reading and filing the 
annexed petition of the [specify name of impounding organization] by [specify name of 
Director / Manager of impounding organization], let the defendant [specify defendant’s 
ame]  show cause at a term of this Court to be held in the Justice Court of the [specify 
name of town] in the [specify actual location of justice court] on the _____day of 
________, 20__  at _____o'clock  in the am/pm of that day or as soon thereafter as 
counsel can be heard, why an order should not be made requiring that the defendant 
[specify defendant’s name] post security under Section 373, subdivision 6, of Article 26 
of the Agriculture and Markets Law, for an amount sufficient to secure payment for all 
reasonable expenses expected to be incurred by the said  [specify name of impounding 
organization] in caring and providing for the seized animals set forth in the petition for at 
least 30 days, pending the disposition of charges now pending against the said defendant, 
with the amount of the security to be determined by the Court upon the recommendation 
of the [specify name of impounding organization] which now has custody and care of the 
seized animals, with the authority of the [specify name of impounding organization] to 
draw upon the security for the actual  reasonable cost by said [specify name of 
impounding organization] in caring for the seized animals.

Sufficient reason appearing therefore, let a mailing of a copy of this Order to Show 
Cause, together with copies of the papers upon which it is granted, to said [specify 
defendant’s name] by Certified Mail, Return Receipt Requested, on or before the 
____ day of _______, 20__ be deemed sufficient service.

Signed this _____day of ________, 20__ at [specify location of justice court], New York.

                                                                   _____________________________
                                                                    Honorable Judge [specify name of judge]
                                                                    Justice Court of [specify town], New York