Uncontested Matrimonial Request For Judicial Intervention {UD-13}

UNCONTESTED MATRIMONIAL REQUEST FOR JUDICIAL INTERVENTION ________________________COURT, Index No: _____________________ _________________________COUNTY For Court Clerk Use Only: UD-13 (rev. 5/2011) IAS Entry Date Judge Assigned Date Index Issued:______/______/__________ RJI Date CAPTION: Enter the complete case caption. Do not use et al or et ano. Plaintiff -against- Defendant STATUS OF ACTION OR PROCEEDING: Has a summons been filed? Has a summons been served? Are there children of the marriage under the age of 18? Answer YES or NO, and provide additional information where indicated. YES G G G NO G G G If yes, date filed: ________/________/____________ If yes, date served: ________/________/____________ If yes, complete and attach the MATRIMONIAL RJI Addendum (UCS-840M). NATURE OF JUDICIAL INTERVENTION: ADDITIONAL RELIEF: Check all that apply Poor Person Application EX PARTE APPLICATION FOR THE DISSOLUTION OF MARRIAGE G G G Application for Alternate Service Other (specify): _____________________________________________________________________________________________________________ For parties without an attorney, check "Un-Rep" box AND enter party address, phone number and e-mail address in "Attorneys" space. PARTIES: Parties Attorneys Provide attorney name, firm name, business address, phone number and e-mail address. UnRep List party names. Name: Issue Joined (Y/N): G Role: PLAINTIFF Name: N/A G Role: DEFENDANT G YES G NO RELATED CASES: Case Title List any related cases, include any related criminal and/or Family Court cases. Index/Case No. Court Judge (if assigned) Relationship to Instant Case I AFFIRM UNDER THE PENALTY OF PERJURY THAT, TO MY KNOWLEDGE, OTHER THAN AS NOTED ABOVE, THERE ARE AND HAVE BEEN NO RELATED ACTIONS OR PROCEEDINGS, NOR HAS A REQUEST FOR JUDICIAL INTERVENTION PREVIOUSLY BEEN FILED IN THIS ACTION OR PROCEEDING. Dated: ________/________/____________ ________________________________________________ SIGNATURE ________________________________________________ ATTORNEY REGISTRATION NUMBER ________________________________________________ PRINT OR TYPE NAME American LegalNet, Inc. www.FormsWorkFlow.com