Least Expensive Brand Declaration Form (Page 2 of 2) in pdf

Least Expensive Brand Declaration Form Page 2

NCFC 11/2011

FAMILY COURT OF THE STATE OF NEW YORK

COUNTY OF NASSAU

1200 Old Country Road

Westbury, NY 11590

Records Department Fax # (516) 571-9320

NCFC Electronic Recording Transcript Request Form

A list of transcription services are available on the internet at

Transcription Service Selected:

Person Requesting Transcript:

Name

Address

Telephone #

Information on Case(s):

Name of Petitioner

Name of Respondent

Name of Judge/Support

Magistrate/Referee

File #

Docket #(s)

Date(s) of Court Proceeding(s)

I hereby request a transcript of a court proceeding. I understand that I will be charged for the transcript

and the transcription service I have selected will provide me with an estimate of the cost. I understand that

I must pay the transcription service before the transcript will be produced.

Sworn to before me this

Person Ordering Transcript [sign name]

day of

, 20

Notary Public

*Note: If you are submitting this request by mail or by fax, then it must be notarized.

If you are submitting this request in person, notarization is not required, but you must show a

government issued photo identification.

If you are the attorney of record, only a signature is required.

Court use only

ID checked by:

(clerk’s initials)

Date:

Counter Number

CD forwarded by:

(clerk’s initials)

Date:

Least Expensive Brand Declaration Form Page 2