UCS-121 Transcript of judgment  


 
UCS 121 (Rev. 11/90)
Transcript of Judgment Index No. __
State of New York, __ Court of __, County of __
Type of proceeding: Civil______Summary ______ Small Claim______Commercial Claim ______Commercial Claim (Consumer Transaction______
1)
____________
 
1)
____________
2)
____________
 
vs
 
2)
____________
3)
____________
 
3)
____________
4)
____________
 
4) ____________
First Paper filed
 
 
Notice of Trial filed
 
Jury
__
 
Waived
__
 
Demanded by ______________
Amount sued for
__
 
Arbitration
__
 
Non–Arbitration __
Disposition
 
 
Date of disposition
 
 
Date of Appeal
 
Attorney for Plaintiff
 
Attorney for Defendant
Name
 
 
Name
 
Address
 
 
Address
 
 
 
 
Phone No.
 
 
Phone No.
 
Remarks
 
 
Trade or profession of Judgment Debtor
 
Last known address of Judgment Debtor
 
Address of Judgment Creditor
 
Terms
 
 
$
 
, plus $
 
Court Costs = $
 
Judgment rendered
______
(date)
 
Judgment docketed
______
(date)
 
hr. and min.
Clerk's signature
 
(date) ______
Execution issued on
 
Return satisfied on
 
 
Remarks (date and manner of change of status of judgment
 
 
 
 
State of New York
 
County of __
(seal)
I, __ (Clerk, Judge or Justice) of the court named above, hereby certify that the above is a correct transcript from the docket of judgment in my office.
Satisfaction of Judgment on
__
.
Indicate how and to what to extent
 
Clerk's Signature
 
 
(date) _________