ORDER

SANDRA J. FEUERSTEIN, District Judge.

Pending before the Court is an application by pro se plaintiff Walter Iwachiw ("plaintiff") for leave to proceed in forma pauperis on his appeal of so much of an order of this Court, entered September 16, 2015, as accepted the Report and Recommendation of the Honorable Steven I. Locke, United States Magistrate Judge, dated August 14, 2015, and, for the reasons set forth therein, (1) granted the branch of the motion of defendant The Standard Fire Insurance Company ("Standard Fire"), i/s/h "Travelers, The Standard Fire Insurance Company," seeking summary judgment dismissing plaintiff's claims against it pursuant to Rule 56 of the Federal Rules of Civil Procedure for lack of standing and dismissed plaintiff's claims against Standard Fire in their entirety for lack of standing; (2) granted the motions of defendants Tower Insurance Company of New York ("TICNY"), NYU Medical Center ("NYU") and Adorno Denker Associates, Inc. ("Adorno Denker") seeking judgment on the pleadings pursuant to Rule 12(c) of the Federal Rules of Civil Procedure and (a) dismissed plaintiff's claims against TICNY and NYU in their entirety for failure to state a claim for relief, and (b) dismissed plaintiff's claims against Adorno Denker in their entirety for lack of personal jurisdiction and failure to state a claim for relief; and

(3) denied plaintiff's cross motion for summary judgment and request for leave to amend the complaint. For the reasons stated herein, plaintiff's application is denied.

Rule 24(a)(1) of the Federal Rules of Appellate Procedure provides, in relevant part, that with an exception not relevant here1,

The affidavit submitted by plaintiff in support of his motion to appeal in forma pauperis is incomplete and/or insufficient insofar as, inter alia, (1) in response to the question whether he received any money from any source within the past twelve (12) months and, if so, to identify the source and amount of money received, plaintiff wrote: "___ 0 ___," but then he indicated that he received public benefits; (2) he did not indicate the source or amount of public benefits he received within the past twelve months; (3) he answered "no," to the question whether he owns "any apartment, house or building, stocks, bonds, notes, automobiles or other property," but then he indicated, "under court order confiscations: 48-35 41 St., Sunnyside, NY 11104, 11 McArthur Ave., Huntington, NY," without any explanation; he reported no monthly expenses and put only a zero (0) in answer to the question asking if he paid rent or a mortgage and, if so, the amount he paid each month; and he did not indicate the issue(s) he intends to present on the appeal as required by Rule 24(a)(1)(C) of the Federal Rules of Appellate Procedure. Since plaintiff has not attached an affidavit satisfying the requirements of Rule 24(a)(1) of the Federal Rules of Civil Procedure, his application for leave to proceed on appeal in forma pauperis is denied.

III. Conclusion

For the reasons set forth herein, plaintiff's motion for leave to proceed on appeal in forma pauperis is denied. Pursuant to Rule 24(a)(4) of the Federal Rules of Appellate Procedure, the Clerk of the Court shall serve notice of entry of this order upon all parties and "immediately notify" the United States Court of Appeals for the Second Circuit of this decision. Pursuant to Rule 24(a)(5) of the Federal Rules of Appellate Procedure, inter alia, plaintiff may file a motion for leave to proceed on appeal in forma pauperis in the United States Court of Appeals for the Second Circuit within thirty (30) days after the Clerk of this Court serves notice of entry of this order upon him.

SO ORDERED.