NOTE OF ISSUE Calendar No. (if any) Index No. Court, Name of assigned judge County : : : : : : : : : : Plaintiff(s) -against: : : : : : : Defendant(s) : ............................................... : Special Preference claimed under on the ground that NOTICE FOR TRIAL Trial by jury demanded of all issues of issues specified below or attached hereto Trial without jury Filed by attorney(s) for Date summons served Date service completed Date issue joined Nature of Action or Special Proceeding Tort: Motor Vehicle Negligence Medical Malpractice Other tort Contract Contested matrimonial Uncontested matrimonial Tax certiorari Condemnation Other (not itemized above) (specify) Indicate if this action is brought as a class action Amount demanded $ Other relief Insurance carrier(s), if known: Attorney(s) for Defendant(s) Office and P.O. Address : : For use of clerk Attorney(s) for Plaintiff(s) Office and P.O. Address Telephone No.: Telephone No.: NOTE: The clerk will not accept this Note of Issue unless accompanied by a Certificate of Readiness. American LegalNet, Inc. www.FormsWorkFlow.com For Clerk's Use CERTIFICATE OF READINESS FOR TRIAL (Items 1-7 must be checked) N. I. served on 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Dated: Complete Waived Not Required All pleadings served ....................................................................... Bill of Particulars served ................................................................ Physical examinations completed................................................... Medical reports exchanged ............................................................. Appraisal reports exchanged .......................................................... Compliance with section 202.16 of the Rules of the Chief Administrator (22 NYCRR 202.16) in matrimonial actions........... Discovery proceedings now known to be necessary completed ....................................................................................... There are no outstanding requests for discovery. There has been a reasonable opportunity to complete the foregoing proceedings. There has been compliance with any order issued pursuant to section 202.12 of the Rules of the Chief Administrator (22 NYCRR 202.12). If a medical malpractice action, there has been compliance with any order issued pursuant to section 202.56 of the Rules of the Chief Administrator (22 NYCRR 202.56). The case is ready for trial. (Attorney must sign above and type name below) Attorney(s) for: Address Telephone No.: American LegalNet, Inc. www.FormsWorkFlow.com State of New York County of ss: __________________________________________________, being duly sworn deposes and says: that deponent is not a party to the action, is over 18 years of age and resides at __________ __________________________________________________, that on the ____ day of ___________ , 20___, deponent served the within Note of Issue and Certificate of Readiness on ______ __________________________________________________, attorney(s) for ______________________________________, herein at their office located at __________________________ __________________________________________________ during their absence from said office (a) by then and there leaving a true copy of the same with the__________________* (b) and said office being closed by depositing a true copy of same enclosed in a sealed wrapper directed to said attorney(s), in the office letter drop or box. Sworn before me on the _____ day of __________ , 20___ State of New York County of ss: ________________________________________________, being duly sworn deposes and says: that deponent is not a party to the action, is over 18 years of age and resides at _____ __________________________________________________, that on the ____ day of ___________ , 20___, deponent served the within Note of Issue and Certificate of Readiness on ______ __________________________________________________, attorney(s) for ______________________________________, the address designated by said attorney(s) for that purpose by depositing a true copy of same enclosed in a postpaid properly address wrapper, in -a post office- official depository under the exclusive care and custody of the United States Postal Service within New York State. Sworn before me on the _____ day of __________ , 20___ __________________________________________________ Notary Public *clerk; partner; person having charge of said office __________________________________________________ Notary Public Admission of Service Due service of a note of issue with certificate of readiness, of which the within is a copy, is admitted this _____ day of ____________, 20___. Attorney(s) for:____________________________ American LegalNet, Inc. www.FormsWorkFlow.com