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.