Statement Of Damages - United States District Court
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1UNITED STATES DISTRICT COURT
SOUTHERN DISTRICT OF NEW YORK
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Plaintiff,
____ Civ. _______ (
)
- against -
STATEMENT OF DAMAGES
Defendant.
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Principal amount sued for . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ X,XXX.XX
Interest at _____% from
(date)
through
(date)
. . . . . . . . . .
XX.XX
Costs and Disbursements:
Clerk's fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
XXX.XX
Process Server fee for service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
XX.XX
Statutory fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
XX.XX
Total (as of
(date)
) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ X,XXX.XX
AFFIX AS EXHIBITS - COPY OF:
1. SUMMONS
2. COMPLAINT
3. PROOF OF SERVICE
SDNY Web 5/99
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