New York Affirmation of Regularity Form

After serving copies of the papers to the Defendant, the next step for the petitioner is to complete and submit this form to the court clerk’s office. In the form, the Petitioner only needs to divulge information related to _______________.Download

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SUPREME COURT OF 	THE STATE 	OF 	NEW 	YORK 	
1 	COUNTY  OF 	_____ 	_ 	
2 
3 
4 	
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Plaintiff, 	
-against-
Defendant. 	
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Index No.: 	
AFFIRMATION 	(AFFIDAVIT) 	
OF 	REGULARITY 
5  STATE 	
OF 	} 	
ss: 	
COUNTY  OF 	__ 	_ 	} 	
6 	The undersigned,  being duly sworn,  deposes  and says: 
I  am 	
0 	the  attorney 	for 	OR 	0 	the Plaintiff  herein. 
This  is a matrimonial  action. 
The 	
0 	Summons with  Notice 	OR 	0 	Summons 	and 	Verified Complaint  and the Notice 	
of 	Automatic  Orders were personally  served upon the Defendant  herein, 	0 	within 	OR 	0 	outside 
the  State 	
of 	New  York  as appears  in the  affidavit 	of 	service  submitted  herewith. 	
7 	Defendant  has appeared 	0 	on his  or her  own 	behalf 	OR 	0 	by the  firm 	of 	___ 	_ 	
________ 	and 	executed  an affidavit  agreeing  that this matter  be 	placed 	on the  matrimonial 
calendar  immediately. 	
OR 	
0 	Defendant  is in  default 	for 	failure  to serve  a notice 	of 	appearance  or failure  to answer  the 
complaint  served in this  action  in due  time, 	
and 	the time  to answer  has not been  extended  by stipulation, 
court  order,  or otherwise. 
WHEREFORE,  I respectfully  request that this action  be placed  on the  undefended  matrimonial 
calendar  for trial. 
I  state  under  the penalties 	
of 	perjury  that the statements  herein made are true,  except  as to such 
statements  as are  based  on information  and belief,  which statements  I believe  to be  true. 	
8 	Dated: 
Subscribed  and Sworn  to 
before  me on 	
NOTARY 	PUBLIC 	
(Form 	UD-5-	Rev. 	10/10) 	
0 	Plaintiff 	
0 	Attorney(s) 	for 	Plaintiff