Civil Court of the City of New York
County of ______________________ __________________________________________ Index Number _________________ SELF REPRESENTED WRITTEN ANSWER AND VERIFICATION Plaintiff(s), -against___________________________ ___________________________ ___________________________
Plaintiff/Attorney for Plaintiff
Defendant(s), __________________________________________
WRITTEN ANSWER I _______________________________________________________, am the Defendant in this action. As my answer to the allegation(s) made in the Complaint, I offer the following: 1. 2. _____ General Denial (I deny the allegations in the complaint) _____________________________________________________________________
__________________________________________________________ __________________________________________________________ __________________________________________________________
3. Counterclaim: $_______________ Reason:__________________________________
_________________________________________________________.
____________________________ Date ___________________________________ Signature of Defendant in Person ___________________________________ Defendant's Address ___________________________________ City, State, Zip Code
____________________________ Defendant's Telephone No.
VERIFICATION
State of New York, County of ___________________ss.: ______________________________________, being duly sworn, deposes and says: I am the Defendant in this proceeding. I have read the Written Answer 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. _________________________________________ Defendant Sworn to before me this ________ day of _________, 20___ ________________________________________________ Notary Public/Court Employee and Title
CIV-GP-58e Self Represented Written Answer 12-08
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.
For Court Use Only Initial Calendar Date:______________ Both Sides Notified:_______________