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 security for the cost of providing animal care under Article 26 Agriculture and 
Markets Law, Section 373, sub-division 6.	

[Specify name of Manager or Director of impounding organization] being duly sworn 
deposes and says, I am the [specify title] of the [specify name of impounding 
organization] in [specify city or town], NY hereinafter the [specify short name for 
impounding organization].  
                  
On [specify month, date and year of seizure], the [specify name of police agency] caused 
the seizure of [specify the types and numbers of animals] from the possession of one 
[specify defendant’s name] from a location where they were being housed at [specify 
location of property].

These animals were seized and impounded pursuant to the provisions of Section 373 for a 
violation of Section 353 of Article 26 of the Agriculture and Markets Law against 
[specify defendant’s name] for failure to provide proper sustenance and other violations 
of said article. The [specify name of impounding organization] is an “impounding 
organization” within the meaning of Sub-division 6 of Section 373 of the Agriculture and 
Markets Law. 

This sub-division provides that the person who has been arraigned on the charges may be
required to post security in an amount sufficient to secure payment for all reasonable 
expenses expected to be incurred by the impounding organization in caring for the 
animals for at least 30 days and until the disposition of the criminal charge(s). This 
section affords the Court the power to fix the amount of said security based on the 
factor of cost and the recommendation of the [specify name of impounding organization] 
as the impounding organization. The [specify name of impounding organization] at this 
time recommends the dollar amount of the security to be in the amount of $_________.  
The amount reflects the cost incurred by the [specify name of impounding organization] 
for housing and caring for the animals for 30 days (as well as one-time charges). Affixed 
is a summary explanation of the estimated costs.

The statute further requires that a hearing be set on this petition within ten days of its 
filing and the petitioner requests that this Court fix the time of the hearing on this 
application. It is intended that one copy of this petition and the annexed Order to Show 
Cause is to be served upon the Defendant at the time of his or her arraignment and upon 
the District Attorney (373 A&M 6 (b.1)).

Under sub-division 2 of said sub-division, upon the Court ordering the posting of 
security, if the Defendant fails to file the security in the Court within five (5) business 
days, then this Court may order the immediate forfeiture of the animals to the [specify name of impounding organization].

Petition process by Order to Show Cause in order that the Defendant and the District Attorney may be notified.

This statute does not specify the type of security required. It is requested that the bond be 
posted in cash with leave to renew or increase the bond if time and/or necessity demands it. 
	
WHEREFORE, petitioner requests the annexed Order to Show Cause be granted and 
served, together with such other and further relief as the Court deems just and proper.

______________________________                         DATED:____________    

On _________________, 200_ came ______________________ to me known to be the 
person described herein and who executed the foregoing instrument. Such person duly 
swore to such instrument before me and duly acknowledged that he/she executed the same.

_______________________________
Notary Public