22 CRR-NY D III B Form CNY-CRR

STATE COMPILATION OF CODES, RULES AND REGULATIONS OF THE STATE OF NEW YORK
TITLE 22. JUDICIARY
SUBTITLE D. FORMS
CHAPTER III. SUPREME AND COUNTY COURT FORMS
SUBCHAPTER B. FORMS AUTHORIZED BY SECTION 202.50(B)
22 CRR-NY D III B Form C
22 CRR-NY D III B Form C
i Referee's report - findings of fact and conclusions of law
REFEREE'S REPORT - FINDINGS OF FACT AND CONCLUSIONS OF LAW
SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF __
TITLE OF ACTION __
Cal. No. __
Index No. __
Nature of Action - Divorce
The plaintiff having brought this action for a judgment of absolute divorce by reason of __
(Insert one or more of the following grounds:)
the cruel and inhuman treatment of the plaintiff by the defendant
the abandonment of the plaintiff by the defendant for a period of one or more years
the confinement of defendant in prison for a period of three or more consecutive years after the marriage of plaintiff and defendant
the commission by the defendant of adultery
the plaintiff and defendant having lived apart after the granting of a judgment of separation for a period of one or more years
the plaintiff and defendant having lived separate and apart pursuant to a written agreement for a period of one or more years
Nature of Action - Separation
The plaintiff having brought this action for a judgment of separation by reason of __
(Insert one or more of the following grounds:)
the cruel and inhuman treatment of the plaintiff by the defendant
the abandonment of the plaintiff by the defendant
the neglect or refusal of defendant to provide for plaintiff
the commission by defendant of adultery
the confinement of defendant in prison for a period of three or more consecutive years after the marriage of plaintiff and defendant
Nature of Action - Annulment
The plaintiff having brought this action for a judgment of annulment by reason of the fraud of the defendant in inducing the marriage
(For other grounds, see section 140, Domestic Relations Law.)
Nature of Action - Declaration of the Nullity of a Void Marriage
The plaintiff having brought this action for a judgment declaring the nullity of (his) (her) marriage to the defendant by reason of the prior subsisting marriage of the defendant
Service of Process
and the summons bearing the notation (“Action for a Divorce”) (“Action for a Separation”) (“Action to Annul a Marriage”) (“Action to Declare the Nullity of a Void Marriage”) and a statement of any ancillary relief demanded having been duly served upon the defendant (personally within this State) (personally without this State by publication)
Defendant's Non-Appearance
and the defendant not having appeared within the time prescribed therefor by statute, and it appearing from (nonmilitary affidavit) (testimony given in open court) that the defendant is not in the military service of the United States
Defendant's Appearance and Non-Answer
and the defendant having appeared by __, Esq., and plaintiff's verified complaint having been duly served upon the attorney for defendant and the defendant not having answered although the time to do so has fully expired
Defendant's Appearance, Answer and Withdrawal of Answer
and the defendant having appeared by __, Esq., and plaintiff's verified complaint having been duly served upon the attorney for defendant and the defendant having answered the complaint and having thereafter (by written stipulation) (in open court) withdrawn (his) (her) answer
Defendant's Appearance and Answer - Contested Action
and the defendant having appeared by __, Esq., and plaintiff's verified complaint having been duly served upon the attorney for defendant and defendant having answered the complaint
Inquest Held
and the plaintiff having applied __
(if defendant has appeared, insert: on due notice to defendant's attorney)
to the court for judgment for the relief demanded in the complaint and the matter having been set down for trial on the __ day of __, 19 , and the plaintiff having on that day appeared before me and presented written and oral proof of service and in support of the essential allegations of the complaint, and such proof having been heard and considered by me, I decide and find as follows:
Contested Trial - Non-Jury
and the matter having come on for trial before me on the following days __, and the parties having appeared before me and presented their written and oral proof, and the court having made and filed its memorandum decision dated __
Contested Trial - Jury
and the matter having come on before the undersigned and a jury on the following days: __; and the parties having presented their written and oral proof before the court and jury, and the jury having been instructed to answer each of the following questions “Yes” or “No”:
1.
 
2.
 
and having after due deliberation, made written answers to said questions as follows:
Question 1 __; Question 2 __:
Age of Parties - No Guardian Needed
FIRST: That plaintiff and defendant were both over the age of 18 when this action was commenced.
Age of Parties - Under-age Party
FIRST: That (plaintiff) (defendant) was over the age of 18 years when this action commenced and (defendant) (plaintiff) was then and now is under 18, to wit: __ years of age and appears herein by __, (parent and natural guardian) (duly appointed as guardian by order dated __, 19 ).
Residence - One Year
SECOND: That at the time of the commencement of this action and for a continuous period of at least one year immediately preceding such commencement, (plaintiff)(defendant) resided in this State and (the parties were married in the State) (the parties have resided in this State as husband and wife) (the cause occurred in this State).
Residence - Two Years
SECOND: That for a continuous period of at least two years immediately preceding commencement of this action, (plaintiff) (defendant) resided in this State.
Residence - No Required Time
SECOND: That at the time of the commencement of this action both plaintiff and defendant resided in this State and the cause occurred in this State.
Marriage
THIRD: That plaintiff and defendant were married on __, 19 , in __ .
No Children
FOURTH: That there is no issue of this marriage.
Children
FOURTH: That there are
__
children (born of) (adopted by) the parties to this marriage, whose names and dates of birth are as follows:
 
 
Cruelty
FIFTH: That at the following times, none of which is earlier than five years before the date of commencement of this action, defendant committed the following acts which endangered the plaintiff's (physical) (mental) (physical and mental) well-being, and rendered it (unsafe) (improper) (unsafe and improper) for plaintiff to continue to reside with defendant.
 
 
( Spell out in letter subparagraphs, the acts or omissions to act for which there is proof in the minutes.)
Abandonment
FIFTH: That the defendant without cause or justification and without plaintiff's consent on the
__
day of
__
, 19
, abandoned plaintiff with intent not to return and has been willfully and continuously absent from the home of the parties since
 
 
(in divorce actions, add: for a period of one year prior to the commencement of this action
Confinement to Prison
FIFTH: (a) That after the marriage of plaintiff and defendant, defendant was confined in prison for a period of three or more consecutive years, to wit: that defendant was confined inprison on the __ day of __, 19 , and remained confined until the __ day of __, 19 ; and
(b) not more than five years elapsed between the date the cause of action arose and the date of commencement of this action.
Adultery
FIFTH: (a) That on the __day of __, 19 , at premises __, the defendant committed adultery with __; and
(b) not more than five years elapsed between the date of said adultery and the date of commencement of this action.
Neglect to Support
FIFTH: (a) That defendant has (neglected) (refused) to provide for the support of plaintiff since the __ day of __, 19 , and has not done so; and
(b) not more than five years elapsed between the date the cause of action arose and the date of commencement of this action.
Living Apart under Separation Decree
FIFTH: (a) That a judgment separating the parties was entered on the __ day of __, 19 _, by the __ Court of the State of __; and
(b) that the parties have lived apart pursuant to said judgment for a period of one year after the granting of such judgment; and
(c) that the plaintiff has substantially performed all the terms and conditions of such judgment.
Living Apart Under Separation Agreement
FIFTH: (a) That the plaintiff and defendant entered into a written agreement of separation, which they subscribed and acknowledged on the __ day of __, 19 , in the form required to entitle a deed to be recorded; and
(b) that the (agreement) (a memorandum of said agreement) was filed in the office of the Clerk of the County of __, wherein (plaintiff) (defendant) resides, on the __ day of __, 19 _; and
(c) that the parties have lived separate and apart for a period of one year after the execution of said agreement; and
(d) that the plaintiff has substantially performed all the terms and conditions of such agreement.
Annulment for Fraud
FIFTH: (a) That prior to the marriage of the parties the defendant represented to plaintiff that
 
 
(state representation); and
(b) that said representation was false; and
(c) that said representation was made to induce plaintiff to enter into the marriage; and
(d) that plaintiff believed and relied upon said representation, and would not have entered into the marriage had the representation not been made or had plaintiff known that defendant did not intend to __
(refer to representation); and
(e) that defendant after the marriage refused to __
(refer to representation); and
(f) that plaintiff has not cohabited with defendant since discovery of the falsity of the representation; and
(g) that three years have not elapsed since discovery of the facts constituting the fraud.
(For other grounds see section 140, Domestic Relations Law.)
Declaration of Nullity of Void Marriage
FIFTH: (a) That prior to the marriage to plaintiff and on the day of __, 19 , defendant married __ (name) in __ (place); and
(b) that on the date of the marriage of plaintiff and defendant the marriage between defendant and __ (name) had not been terminated by the judgment of any court; and
(c) on the date of the marriage of plaintiff and defendant, defendant's prior spouse was alive and the prior marriage of defendant was valid and subsisting.
Arrears Due Under Temporary Order
SIXTH: (a) That by order of this court (or: by order of the Family Court, __ County) dated the __ day of __, 19 , defendant was required to pay to plaintiff as and for maintenance and child support, the sum of $ __ per week, and as counsel fee, the sum of $ __; and
(b) that there became due under said order through the week of __, 19 , the total sum of $ __, no part of which has been paid except $ __; and
(c) that defendant is in arrears under said order in the total sum of $ __ for said period.
Separate and Marital Property
SEVENTH: (a) That the following is separate property owned by plaintiff: __; and
(b) that the following is separate property owned by defendant: __; and
(c) that the following is marital property to be disposed of equitably pursuant to Domestic Relations Law, section 236B(5):
 
 
(List findings required under Domestic Relations Law, section 236B[5][d][1]- [10].)
Custody
EIGHTH: That the children of the marriage now reside with (plaintiff) (defendant).
Visitation
NINTH: That the (plaintiff) (defendant) is entitled to visitation with the infant child(ren) away from the custodial residence.
Exclusive Occupancy
TENTH: That the parties hereto are the owners of premises known as __
(P.O. address).
Maintenance (pursuant to Domestic Relations Law, section 236B[6])
ELEVENTH: (a) That plaintiff is (not) employed and is earning $ __ (net) per week; and
(b) that defendant is (not) employed and is earning $ __ (net) per week; and
(c) that (plaintiff) (defendant) now receives $ __ per __ pursuant to an outstanding Court order.
(d) that (plaintiff) (defendant) requires $ __ per week for maintenance; and
(List findings required under Domestic Relations Law, section 236B[6][a][1]-[10]); and
(e) that the parties have entered into (a stipulation) (or/and agreement) dated __, wherein (plaintiff) (defendant) agrees to accept and (plaintiff) (defendant) agrees to pay $ __ per week as maintenance and $ __ per week per child as and for child support. That the terms of the agreement were fair and reasonable at the time of the making of the agreement and are not unconscionable at the time of the entry of judgment herein.
(f) Neither of the parties seeks equitable distribution of the marital property.
Child Support
TWELFTH: (a) The award of child support in accordance with D.R.L. § 240(1-b) is based on the following findings:
(i) the children of the marriage entitled to receive parental support are: [state names and dates of birth];
(ii) the income of the plaintiff, who is the (custodial) (non-custodial) parent, is $ __ per year;
(iii) the income of the defendant, who is the (custodial) (non-custodial) parent, is $ __ year;
(iv) the applicable child support percentage is __%;
(v) the basic child support obligation is $ __ per (week) (month) [plus, if applicable, expenses for child care, health care not covered by insurance, and educational or other extraordinary expenses];
(vi) The non-custodial parent's pro rata share of the basic child support obligation is calculated as follows:
(a) $ __ per (week) (month) representing __% of the combined parental income under $80,000 per year; plus
(b) $ __ per (week) (month) representing __% of the combined parental income over $80,000 per year;
(c) __% of future reasonable health care expenses not covered by insurance; [delete if inapplicable]
(d) __% of the reasonable child care expenses; [delete if inapplicable]
(e) __% of educational or other extraordinary expenses; [delete if inapplicable]
1 (b) The non-custodial parent's pro rata share of the basic child support obligation is neither unjust nor inappropriate.
OR
2 (b) Upon consideration of the following factors specified in Section 240(1-b)(f) of the Domestic Relations Law:
the non-custodial pro rata share of the basic child support obligation is unjust or inappropriate in that:
OR
3 (b) The parties have entered into a (stipulation) (agreement) dated __ wherein (plaintiff) (defendant) agrees to pay $ __ per (week) (month) for child support, such (stipulation) (agreement) reciting, in compliance with D.R.L. § 240(1-b)(h), that:
The parties have been advised of the provisions of Section 240(1-b) of the Domestic Relations Law;
The unrepresented party, if any, has received a copy of the child support standards chart promulgated by the commissioner of Social Services pursuant to Social Services Law § 111-i;
The basic child support obligation as defined in DRL Section 240(1-b) presumptively results in the correct amount of child support to be awarded;
The basic child support obligation in this case is $ __ per __; [plus, if applicable, expenses for child, care, health care not covered by insurance, and educational or other extraordinary expenses]; and
4 (c) The amount of child support agreed to therein conforms to the basic child support obligation.
OR
5
(c) The amount of child support agreed to therein deviates from the basic child support obligation, and the parties' reasons for not providing that amount are;
 
 
 
;
And the court having found the parties' agreement to deviate from the basic child support obligation is approved for the following reasons: [See DRL § 240(1-b)(f)]
Counsel Fees
THIRTEENTH: That the attorney for the (plaintiff) (defendant) is entitled to counsel fees.
Jurisdiction Obtained
FOURTEENTH: That jurisdiction as required by section 230 of the Domestic Relations Law has been obtained.
FIFTEENTH: That plaintiff has filed a verified statement that (he) (she) has taken all steps solely within (his) (her) power to remove all barriers to defendant's remarriage following the (annulment) (divorce).
Plaintiff Entitled to Judgment
SIXTEENTH: That plaintiff is entitled to judgment (of divorce) (of separation) (of annulment) (declaring the nullity of the marriage) and granting the incidental relief awarded (herein) (in the JUDGMENT signed this date)
Dated __: New York, New York __ day of __, 19 _ .
Referee

Footnotes

1
Only one of the three alternative subparagraphs (b) will be appropriate; delete the inapplicable provisions.
2
Only one of the three alternative subparagraphs (b) will be appropriate; delete the inapplicable provisions.
3
Only one of the three alternative subparagraphs (b) will be appropriate; delete the inapplicable provisions.
4
Only one of the two alternative subparagraphs (c) will be appropriate; delete the inapplicable provisions.
5
Only one of the two alternative subparagraphs (c) will be appropriate; delete the inapplicable provisions.
22 CRR-NY D III B Form C
Current through May 31, 2021
End of Document

IMPORTANT NOTE REGARDING CONTENT CURRENCY: JULY 31, 2023, is the date of the most recently produced official NYCRR supplement covering this rule section. For later updates to this section, if any, please: consult editions of the NYS Register published after this date; or contact the NYS Department of State Division of Admisnistrative Rules at [email protected]. See Help for additional information on the currency of this unofficial version of the NYS Rules.