COUNTY OF ___________________________
Part: __________
Index Number: ________________________
ANSWER: (Check all that apply)
1. __ General Denial: I deny the allegations in the Complaint.
2. __ I did not receive a copy of the Summons and Complaint.
3. __ I received the Summons and Complaint, but service was not correct as required by law.
4. __ It is not my debt. I am a victim of identity theft or mistaken identity.
5. __ I have paid all or part of the alleged debt.
6. __ I dispute the amount of the debt.
7. __ I had no business dealings with Plaintiff (Plaintiff lacks standing).
8. __ There is no record of plaintiff having a license to collect debt (only for cases filed in New York City, Buffalo and
other municipalities requiring debt collectors to be licensed).
9. __ Plaintiff does not allege a debt collector’s license number in the Complaint (only for cases filed in New York
City, Buffalo and other municipalities requiring debt collectors to be licensed).
10. __ Statute of limitations (the time has passed to sue on this debt).
11. __ This debt has been discharged in bankruptcy.
12. __ The collateral (property) was not sold at a commercially reasonable price.
13. __ Failure to provide proper notice before selling collateral (property).
14. __ Failure to mitigate damages (Plaintiff did not take reasonable steps to limit damages).
15. __ Unjust enrichment (the amount demanded is excessive compared with the original debt).
16. __ Violation of the duty of good faith and fair dealing.
17. __ Unconscionability (the contract is unfair).
18. __ Laches (plaintiff has excessively delayed in bringing this lawsuit to my disadvantage).
19-a. __ OUTSIDE OF NEW YORK CITY ONLY: Lack of personal jurisdiction under Uniform City Court Act § 213 (applies if
you do not work in the city where the case was filed and you are not a resident of that city or (for all counties
except Westchester and Nassau counties) you are not a resident of a town next to that city within the same
19-b. __ SUFFOLK COUNTY: Lack of personal jurisdiction; the defendant is not a resident and/or was not served in, or
there was no transaction of business in, that portion of Suffolk County for which a District Court has been
established (Towns of Huntington, Babylon, Islip, Smithtown and Brookhaven).
20. __ Defendant is in the military.
21. __ Other Reasons ____________________________________________________________________________
22. __ Please take notice that my only source of income is ___________________, which is exempt from collection.
23. __ Counterclaim(s): $__________________ Reason:_________________________________________________
State of New York, County of ____________________ss:
______________________________, being duly sworn, deposes and says: I have read the Answer in Writing 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.
Sworn to before me this _____ day of _______________, 20___.
Signature of Defendant
This case is scheduled to appear on the court calendar as follows:
Date: ____________ Part: ____________ Room: ____________ Time: ____________ Both sides notified: Yes No
UCS-CC-1 (Revised 6/11/15)