**UNITED STATES COURT OF APPEALSFOR THE SECOND CIRCUIT**

**Thurgood Marshall U.S. Courthouse at Foley Square 40 Centre Street,
New York, NY 10007 Telephone: 212-857-8500**

**MOTION INFORMATION STATEMENT**

Docket Number(s): Caption \[use short title\]

Motion for:

Set forth below precise, complete statement of relief sought:

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**MOVING PARTY:**
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**OPPOSING PARTY:**
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**□** Plaintiff **□** Defendant

**□** Appellant/Petitioner **□** Appellee/Respondent

**MOVING ATTORNEY: OPPOSING ATTORNEY** \[Name\]**:**

\[name of attorney, with firm, address, phone number and e-mail\] \[name
of attorney, with firm, address, phone number and e-mail\]

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Court-Judge/Agency appealed from:
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**Please check appropriate boxes:** **FOR EMERGENCY MOTIONS, MOTIONS
FOR**

**STAYS AND INJUNCTIONS PENDING APPEAL**

Has **consent** of opposing counsel: Has request for relief been made
below? **□** Yes **□** No

A. been sought? **□** Yes **□** No

B. been obtained? **□** Yes **□** No Has this relief been previously
sought

in this Court? **□** Yes **□** No

Has service been effected? **□** Yes **□** No

\[Attach proof of service\]

Is **oral argument** requested? **□** Yes **□** No

(requests for oral argument will not necessarily be granted) Requested
return date and explanation of emergency:

Has **argument** date of appeal been set? **□** Yes **□** No
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If yes, enter date:
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Signature of Moving Attorney:

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Date: \_\_\_\_\_\_\_\_\_\_\_\_\_

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**ORDER**

**IT IS HEREBY ORDERED that** the motion is **GRANTED DENIED.**

**FOR THE COURT**:

CATHERINE O'HAGAN WOLFE, Clerk of Court

Date: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ By:
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Form T-1080 (Revised 10/31/02)

RULES OF THE UNITED STATES COURT OF APPEALS FOR THE 2ND CIRCUIT

Local Rule 27; Interim Local Rule 25

INSTRUCTIONS

Form of Notice of Motion and Supporting Papers for Motions and
Opposition Statements

> \(1\) The moving party should submit the Motion Information Statement
> in the format approved by the Court with such changes as the Chief
> Judge may from time to time direct.
>
> \(2\) Supporting Papers for Motions and Opposition Statements:
>
> \(a\) All motions must be accompanied by an affidavit containing
> factual information only.
>
> \(b\) Motions may not exceed the limits prescribed by Local Rule 27(a)
> (1) (c).
>
> \(c\) A copy of the lower court or agency decision must be included as
> a separately identified exhibit if a moving
>
> party is seeking substantive relief.
>
> \(d\) Exhibits attached should be only those necessary for the
> determination of the motion.
>
> \(e\) Proof of service should be included.
>
> \(3\) Number of copies: **FOUR** copies must be filed with the
> original.

\(4\) Non-compliance Sanctions: If the moving party has not complied
with this rule, the motion may be dismissed by the Clerk without
prejudice to renew upon proper papers. If an application is promptly
made, the action of the Clerk may be reviewed by a single Judge. If the
responding party fails to comply with this rule, the court may refuse to
hear that party at oral argument. The court may impose costs and an
appropriate fine against either party for failure to comply with this
rule.

\(5\) All documents submitted in connection with the motion should be
sent electronically under one e-mail as one document to the appropriate
electronic mailbox as designated in Interim Local Rule 25(a)(3)(A). The
T-1080 Motion Information Statement should be the first page, and the
supporting documents (e.g., affidavit, proof of service) and then
antivirus certificate should follow.

**MOTION INFORMATION STATEMENT**

**UNITED STATES COURT OF APPEALS FOR THE SECOND CIRCUIT**

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**DOCKET NO.**

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Attorney(s) for Petitioner

Office & Post Office Address & Telephone Number