Ny Small Claims Form printable pdf download

NOTICE TO DEFENDANT

SMALL CLAIMS COURT

SMALL CLAIMS FORM

State of New York

JUSTICE COURT

ROCKLAND COUNTY

TOWN OF CLARKSTOWN

SMALL CLAIMS PART

No: _______________________

NOTICE TO DEFENDANT:

To:

(1) ___________________________________

(2) ___________________________________

___________________________________

TAKE NOTICE THAT (3) ___________________________________________ PLAINTIFF, asks judgment in

this Court against you for $ (4)__________________ together with costs, upon the following claim:

(5)__________________________________________________________________________________________

__________________________________________________________________________________________

In agreement with which the Plaintiff hereby signs and demands Judgment.

(6) ___________________________________________________________________________________________

Plaintiff’s Signature

Address

Daytime Phone No.

There will be a hearing before the court upon this claim on _____________________ 19_____, at ______ AM/PM

in the Small Claims Part of this Court held at Justice Court, Town of Clarkstown, 20 Maple Avenue, New City, N.Y. 10956.

YOU MUST APPEAR and present your defense and/or claim at the hearing time, and place above set forth (a corporation

must be represented by an attorney or any authorized officer, director or employee). IF YOU DO NOT APPEAR, JUDGMENT

WILL BE ENTERED AGAINST YOU BY DEFAULT EVEN THOUGH YOU MAY HAVE A VALID DEFENSE. If your

defense or counterclaim, if any, is supported by witnesses, account books, receipts or other documents, you must produce them at

the hearing. The Clerk, if requested will issue subpoenas for witnesses, without fee thereof.

If you wish to present a counterclaim against the claimant, you must do so filing with the Clerk of the Court a statement

containing such counterclaim within five days of receiving this notice of claim. At the time of such filing you must pay the Clerk

a filing fee of $3.00 plus the cost of postage to send your counterclaim by first class mail to the claimant. If you fail to file a

counterclaim within this five day period, you retain the right to file the counterclaim until the time of the hearing, but the

claimant may request and obtain an adjournment of the hearing to a later date.

If you admit the claim, but desire time to pay, you must appear personally on the day set for the hearing and state to the

Court your reasons for desiring time to pay.

Dated: ________________, 19 ______

__________________________ Clerk

I have read the information on Internet or brochure (7) ____________ (Your initials here).

Ny Small Claims Form