At a ______ Part of the ________ Court of the State of New York, County of _________________ held at the ______________ Courthouse
, __________________, New York on the _____ day of _________, _____. PRESENT: HON.___________________________ STATE OF NEW YORK SUPREME COURT : COUNTY OF ____________ ___________________________________________ APPLICATION OF _____________________ Petitioner, FOR A JUDGMENT PURSUANT TO CPLR 5227 TO COMPEL PAYMENT OF A DEBT OWED TO JUDGMENT DEBTOR, v. Respondent. ___________________________________________ Petitioner having brought this proceeding pursuant to CPLR 5227 for a judgment requiring the respondent to pay to the petitioner, as judgment creditor, $____________, the amount of the debt owed from the respondent to _________________, the judgment debtor, against whom petitioner recovered a judgment on [date] for $________, no part of which has been paid or satisfied, and said application having come on to be heard before this Court on [date] and the petitioner having appeared by _____________ as counsel and the respondent having appeared by ____________________________ as [his/her] counsel and there being no appearance by the judgment debtor [or the judgment debtor having appeared by ______________________ as his/her counsel], and the parties having presented their testimony and evidence having been heard and the issues having been determined by this Court [or a jury rendered a verdict] on [date] in favor of the petitioner, against the respondent, and directing the entry of judgment as stated, and the costs and disbursements of the petitioner having been taxed in the sum of $__________. NOW, on motion of ______________________, attorney for the petitioner, it is
Index No. ___________
Pursuant to 22 N.Y.C.R.R. § 130-1.1-a, an attorney signature is required. An attorney can comply by signing one of the following, as long as it accompanies the papers: a cover page, a litigation back or a separate certification.
ADJUDGED: 1. upon the indebtedness of the respondent to the judgment debtor up to the amount of the payment made by the respondent to the petitioner/judgment creditor. with interest from [date]. the judgment debtor. 2. however. the respondent is discharged from any liability to ______________________. ___________________. because of a debt owed by the respondent to the judgment debtor. That the respondent pay to the petitioner. the sum of $___________. not exceeding. the amount of the debt owed by the judgment debtor to the judgment creditor/petitioner. Upon this payment by the respondent to the petitioner. ENTER:
______________________________ Justice of the Supreme Court