Self Represented Written Answer And Verification

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Civil Court of the City of New York
County of ______________________
Index Number _________________
__________________________________________
SELF REPRESENTED
WRITTEN ANSWER
AND VERIFICATION
Plaintiff(s),
-against-
___________________________
___________________________
___________________________
Defendant(s),
Plaintiff/Attorney for Plaintiff
__________________________________________
WRITTEN ANSWER
I _______________________________________________________, am the Defendant
in this action. As my answer to the allegation(s) made in the Complaint, I offer the following:
1.
_____ General Denial (I deny the allegations in the complaint)
2.
_____________________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
3. Counterclaim: $_______________
Reason:__________________________________
_________________________________________________________.
____________________________
___________________________________
Date
Signature of Defendant in Person
___________________________________
Defendant’s Address
____________________________
___________________________________
Defendant’s Telephone No.
City, State, Zip Code
VERIFICATION
State of New York, County of ___________________ss.:
______________________________________, being duly sworn, deposes and says: I am the
Defendant in this proceeding. I have read the Written Answer and know the contents to be true from my
own knowledge, except as to those matters stated on information and belief, and as to those matters I
believe them to be true.
_________________________________________
Defendant
Sworn to before me this ________ day of _________, 20___
________________________________________________
Notary Public/Court Employee and Title
For Court Use Only
CIV-GP-58e Self Represented Written Answer 12-08
Initial Calendar Date:______________
Both Sides Notified:_______________
FREE CIVIL COURT FORM
No fee may be charged to fill in this form.
Form can be found at:

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