Supreme Court Of The State Of New York County Of Suffolk
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2SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF SUFFOLK
DENNIS M. BROWN, County Attorney
for the COUNTY OF SUFFOLK,
STIPULATION
Plaintiff/Claiming Authority,
-against-
YEAR and MAKE
a ______________, VIN NO.
______________________,
VIN NO.
______________________,
TITLED OWNER'S NAME
Defendant(s),
IT IS HEREBY STIPULATED AND AGREED, by and between the plaintiff/claiming
authority, DENNIS M. BROWN, County Attorney for the County of Suffolk (the “Plaintiff”) and
TITLED OWNER'S NAME
the defendant, ___________________ (the “defendant”), as follows:
YEAR and MAKE
WHEREAS,
the
Plaintiff
seized
a
_________________,
VIN
No.
VIN NO.
_____________________
(the
“Vehicle”),
on
_______________,
as
a
result
of
_______________________ arrest;
WHEREAS, the parties hereby stipulate and agree as follows:
1.
No party hereto is an infant or incompetent person for whom a committee has
been appointed and no person not a party has an interest in the subject matter of this action.
2.
All parties consent to the Court’s jurisdiction.
3.
The Vehicle, presently in the custody of the Plaintiff, is hereby forfeited by the
defendant, to the Suffolk County Attorney’s Office under the authority of Suffolk County Code
Article II of Chapter 420; Article III of Chapter 818; Article IV of Chapter 818 and/or Article VI
of Chapter 818 and Article 13-A of the C.P.L.R., for distribution pursuant to the provisions of
that Article, and the defendant hereby grant all of his/her rights, title and interest in said vehicle
to the Plaintiff.
TITLED OWNER'S NAME
VIN NO.
CA-3
____________________ ____________________
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