Free Short Form Stipulation of Settlement - New York


File Size: 21.1 kB
Pages: 1
File Format: PDF
State: New York
Category: Court Forms - Local
Word Count: 289 Words, 1,760 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.courts.state.ny.us/courts/nyc/civil/forms/civgp33.pdf

Download Short Form Stipulation of Settlement ( 21.1 kB)


Preview Short Form Stipulation of Settlement
CIVIL COURT OF THE CITY OF NEW YORK COUNTY OF Part

Index No.

Plaintiff(s), -against-

SHORT FORM STIPULATION OF SETTLEMENT

Defendant(s).

STIPULATION OF SETTLEMENT
The parties agree that this claim is settled for
(Amount)
I

to be paid by
(Name)

, or

on or before
(Date)

,

to
(Name)

at:
(Address)

as follows:

Upon such payment, all parties shall be released from liability to each other concerning the matters in this dispute, and
(Name)

shall send a stipulation of discontinuance with prejudice to
(Name)

within if

days. fails to make payment as agreed to above,
(Name) (Name)

may complete an Affidavit of

Non- Compliance in the Clerk's Office setting forth such default and shall be entitled to: (SELECT ONE OPTION) less any payments made, together with statutory interest and disbursements. a) enter Judgment for Statutory interest shall be calculated from the date of non-compliance with the stipulation. Before obtaining a judgment, shall send to day written notice of the a default by ordinary mail with a certificate of mailing. A copy Of the mailed default notice, an affidavit of service of the default notice, and a certificate of mailing, shall be filed with the clerk entering judgment. The judgment creditor shall send a satisfaction of judgment to the judgment debtor within days of receipt of full payment.
,

b) (restore the case to the calendar for trial) OR (for a hearing on compliance with the stipulation). (Cross out inapplicable choice).

Signature
Print Name and Title

Date

Signature
Print Name and Title

Date

Signature Print Name and Title

Date

CIV-GP-33 (Revised 3/07)

FREE CIVIL COURT FORM No fee may be charged to fill in this form. Form can be found at: http://www.nycourts.gov/courts/nyc/civil/forms.shtml.