Notice of Petition Holdover Form

Landlord’s Guide to Holdover Summary Proceedings

For Courts Outside New York City

Forms Packet

The forms in this packet are free. You should read the “Landlord’s Guide to Holdover Summary Proceedings” completely before filling out these forms and submitting them to the court.

Forms and Instructions

Notice to Terminate — LT-H-NT

Notice of Petition: Holdover Proceeding — LT-H-NP

Holdover Petition to Recover Possession of Real Property — LT-H-RP

Affidavit of Personal Service — LT-H-APS

Affidavit of Substituted Service or Conspicuous Place Service — LT-H-ASC

Holdover Judgment — LT-H-HJ

Warrant of Eviction: Holdover — LT-H-WE

If you feel you need legal advice at any time during your case, talk with a lawyer.

If you cannot afford a lawyer, or are unsure how to find one, these resources can help you:

• Go to www.lawhelp.org/ny/;
• Call the New York State Bar Association Lawyer Referral Service (toll free) at 1-800-342-3661;
• Go to www.nycourthelp.gov and click on “Lawyers”;
• Go to www.nycourts.gov/attorneys/nybarassociations.shtml;
• Ask at any courthouse about lawyer referral services.

Notice to Terminate

Type or print in black ink only.

Date prepared:

Premises:

Address:

Property use: Business Residence

Tenant name(s):

Tenant address:

Under-tenant name(s):

Under-tenant address:

Tenancy expires on:

Court name:

Landlord/Agent address:

Notice of Petition: Holdover Proceeding

Court:

County:

Index/Docket No.:

Petitioner/Landlord:

Petitioner address:

Respondent/Tenant:

Respondent address:

Hearing court:

Hearing county:

Hearing date:

Hearing time:

Property address:

Property county:

Amount demanded:

Interest from:

Date signed:

Holdover Petition to Recover Possession of Real Property

Court:

County:

Index/Docket No.:

Petitioner/Landlord:

Respondent/Tenant:

Rental agreement date:

Rental agreement end date:

Monthly rent:

Rent due day:

Undertenant(s):

Property address:

Termination date:

Agreement type: Oral/writing other than lease Lease

ETPA / rent control statement: Check if true

Reason not subject to rent control: Community has not adopted ETPA Constructed after December 31, 1973 Less than 6 units

No other address known: Check if applicable

Termination notice service: Statutory notice served Notice given under lease terms

Residence of tenant: Is residence Is not residence

Unpaid rent / use and occupancy:

Interest from:

Date completed:

County of signing:

Notary section: Petitioner Attorney for petitioner Agent for petitioner

Affidavit of Personal Service

Court:

County:

Index/Docket No.:

Petitioner/Landlord:

Respondent/Tenant:

County of signing:

City/Town/Village:

Server name:

Document served:

Tenant name as served:

Service address:

Service date/time:

Person served description:

Affidavit of Substituted or Conspicuous Place Service

Court:

County:

Index/Docket No.:

Petitioner/Landlord:

Respondent/Tenant:

County of signing:

Server name:

Case paper(s) served:

Tenant name as served:

Person who received papers:

Service date/time:

Service place: Dwelling place Usual place of abode Place of business

Service address:

Person served description:

Mailing address:

Mailing date:

Affixed/left at address:

Affixed/left place: Dwelling place Usual place of abode Place of business

Affixed/left date/time:

Second mailing address:

Second mailing date:

Prior attempts at personal service:

Holdover Judgment

Court:

County:

Index/Docket No.:

Petitioner/Landlord:

Respondent/Tenant:

Landlord name:

Tenant current address:

Warrant of Eviction: Holdover

Court:

County:

Index/Docket No.:

Petitioner/Landlord:

Respondent/Tenant:

County where property is located:

Landlord name:

Judgment date:

Property address:

Tenant name(s):

Undertenant name(s):