Fillable NOTE OF ISSUE Calendar No. (if any) For (NYS Unified Court System Division of Technology)

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NOTE OF ISSUE Calendar No. (if any) For (NYS Unified Court System Division of Technology)

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NOTE OF ISSUE
Calendar No. (if any)
Index No.
Court, County, N.Y.
Name of Justice Assigned
NOTICE FOR TRIAL
Trial by jury demanded
Of all issues
Of issues specified below
Or attached hereto
Trial without Jury
Filed by
Date summons served
Date service completed
Date Issue joined
NATURE OF ACTION OR PROCEEDING
Tort Motor Vehicle Negligence
Medical Malpractice
Other Tort
Contract
Contested Matrimonial
Uncontested Matrimonial
Tax Certiorari
Condemnation
Other (not itemized above) specify:
This action is brought as a class action
Amount Demanded $
Other Relief
Special Preference claimed under Insurance carrier(s), if known:
on the ground that
Attorney for Plaintiff/Plaintiff Pro Se:
Address:
Phone Number
Attorney for Defendant/Defendant Pro Se:
Address:
Phone Number
For use of Clerk
Plaintiff/Petitioner
-against-
Defendant/Respondent
■
■
For help in completing this form, click on the yellow question marks for instructions.
Once the form is complete you will be able to print it, but not save it. CPLR 3402(a) requires an
original an two copies must be filed within 10 days of service upon the other side. There is also a fee
to file the note of issue.
CERTIFICATE OF READINESS FOR TRIAL
(Items 1-7 must be checked)
Completed Waived Not Required
1. All pleadings served................................................
2. Bill of particulars served..........................................
3. Physical examinations completed...........................
4. Medical reports exchanged.....................................
5. Appraisal reports exchanged .................................
6. Compliance with rules in matrimonial actions.........
7. Discovery now know to be necessary completed...
8. There are no outstanding requests for discovery.
9. There has been a reasonable opportunity to complete the foregoing proceedings.
10. There has been compliance with any order issued to Precalendar Rules (22 NYCRR 202.12)
11. If a medical malpractice action, there has been compliance with any order pursuant to 22 NYCRR 202.56
12. The case is ready for trial.
Dated: Signature
Print Name
Attorney for/Party Pro Se
Address
Phone Number
Admission of Service
Due service of a note of issue and certificate of readiness of which the within is a copy is admitted this
day of , 20
Attorney(s) for
State of New York County of ss:
being duly sworn deposes and says: that deponent is not a
party to the action, is over 18 years of age and resides at
that on
the day of , 20
deponent served the within Note of Issue and Certificate of
Readiness on
attorney(s)
for herein at their office
located at
during their absence from said office
(a) by then and there leaving a true copy of the same with
the clerk; partner; person having charge of said office.
(b) and said office being closed by depositing a true copy of
same enclosed in a sealed wrapper directed to said
attorney(s), in the office letter drop or box
Sworn before me on the day of , 20
Notary Public
State of New York County of ss:
being duly sworn deposes and says: that deponent is not a
party to the action, is over 18 years of age and resides at
that on the
day of , 20
deponent served the within Note of Issue and Certificate of
Readiness on
attorney(s)
for
at
the address designated by said attorney(s) for that purpose
by depositing a true copy of same enclosed in a postpaid
properly address wrapper, in -a post office- official depository
under the exclusive care and custody of the United States
Postal Service within New York State.
Sworn before me on the day of , 20
Notary Public
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NOTE OF ISSUE Calendar No. (if any) For (NYS Unified Court System Division of Technology)

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Completed 27 October 2020

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