reglab/statecodes huggingface dataset:
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter VI - Forms For Use In Courts Exercising Criminal Jurisdiction › Form 16-b - Examination report

Current through Register Vol. 46, No. 28, July 10,
				2024
C.P.L. Article 730
FORM 16-b
12/88
EXAMINATION REPORT
(Psychiatric Examination)
________ COURT OF ________
COUNTY OF ________
________x
EXAMINATION REPORT
PEOPLE OF THE STATE OF NEW YORK,
Docket No. ________
- against - Indictment No. ________
________,
Defendant.
________x
I, the undersigned. duly certified pursuant to
				  law as a (qualified psychiatrist) (certified psychologist), having been
				  designated by ________, Director of ________, pursuant to an order signed by
				  Hon. ________, (Judge) (Justice) of the ________ Court, ________ County, dated
				  ________, to examine the above-named defendant, pursuant to Article 730 of the
				  Criminal Procedure Law, to determine if the defendant is an incapacitated
				  defendant, have conducted such examination with due care and diligence.
The nature and extent of the examination was
				  as follows: ____________
____________
____________
I have come to the following opinion as a
				  result of such examination:
(I) [FN3] ( ____________ and I jointly and
				  severally) undertake that defendant will appear in
It is my opinion that the above-named
				  defendant does not as a result of mental disease or defect lack capacity to
				  understand the proceedings against him or her or to assist in his or her own
				  defense.
Dated: ________
_________
Signature
_________
Printed Name
It is my opinion that the above-named
				  defendant is an incapacitated person in that as a result of mental disease or
				  defect, (he) (she) lacks capacity to understand the proceeding against (him)
				  (her) to assist in (his) (her) own defense. My opinion is based on the
				  following:
1. History and clinical summary, including
				  mental status.
(I) [FN3] ( ____________ and I jointly and
				  severally) undertake that defendant will appear in
2. Diagnosis:
3. Prognosis:
4. Reasons for my opinion, specifying those
				  aspects of the proceedings wherein the defendant lacks capacity to understand
				  or to assist in (his) (her) own defense: (Attach additional sheets, if
				  necessary):
Dated: ________
_________
Signature
_________
Printed Name
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter VI - Forms For Use In Courts Exercising Criminal Jurisdiction › Form 16-c - Designation of psychiatric examiners

Current through Register Vol. 46, No. 28, July 10,
				2024
C.P.L. Article 730
FORM 16-c
12/88
DESIGNATION OF PSYCHIATRIC EXAMINERS
________ COURT OF ________
COUNTY OF ________
________x
PEOPLE OF THE STATE OF NEW YORK, DESIGNATION
				  OF
PSYCHIATRIC
- against - EXAMINERS
Docket No. ________
________ Indictment No. ________
Defendant.
________x
The undersigned, having been directed by order
				  signed by Honorable ________, (Judge) (Justice) of the ________ Court of
				  ________ County, dated ________, to examine the above named defendant pursuant
				  to Article 730 of the Criminal Procedure Law, does hereby designate ________, a
				  qualified psychiatrist and ________ (a qualified psychiatrist) (a qualified
				  psychologist) for the purpose of conducting the examination of said defendant,
				  each to make a separate report of said examination.
Dated: ________
______________
Signature
______________
Printed Name
Director of Community Mental
Health Services, ____________ County
Director ____________
				  Hospital
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter VI - Forms For Use In Courts Exercising Criminal Jurisdiction › Form 16-d - Temporary order of observation

Current through Register Vol. 46, No. 28, July 10,
				2024
CPL Article 730
FORM 16-d
12/88
TEMPORARY ORDER OF OBSERVATION
________ COURT OF ________
COUNTY OF ________
________x
PEOPLE OF THE STATE OF NEW YORK, TEMPORARY
				  ORDER
OF OBSERVATION
-against-
________, Docket No. ________
Defendant.
________x
The above named defendant, having been charged
				  with ________, in violation of ________, and having been examined pursuant to
				  an order of this Court by ________ psychiatric examiners, qualified in
				  accordance with law, and examination reports thereon having been made to this
				  Court, and the District Attorney and counsel for the defendant having been
				  given copies of such examination reports, copies of which are hereto
				  attached,
(Strike out one of the following two
				  paragraphs)
AND no motion for a hearing having been
				  made,
AND a hearing having been held on the ________
				  day of ________and the following persons having appeared ____________
____________
____________
AND it appearing to my satisfaction that the
				  said defendant as a result of mental disease or defect lacks capacity to
				  understand the proceedings against (him) (her) or to assist in (his) (her) own
				  defense,
AND it further appearing that a felony
				  complaint has been filed against the defendant,
NOW, on motion of ____________, it is
ORDERED that the above named defendant be
				  committed to the care and custody of the Commissioner of (OMH) (OMRDD) for care
				  and treatment in an appropriate facility of the (OMH) (OMRDD) to be designated
				  by the appropriate Commissioner for a period not to exceed ninety days from the
				  date of this order, and it is further
ORDERED that if the person in charge of the
				  facility in which the defendant is confined determines at any time that the
				  defendant is no longer an incapacitated person, such person shall give notice
				  in writing of such determination to this Court and to the District Attorney,
				  and it is further
ORDERED that the defendant, if (he) (she) be
				  in detention, be continued in detention at ________, pending designation of an
				  appropriate facility by the Commissioner of (OMH) (OMRDD), and upon notice by
				  the Commissioner of the designated facility be delivered thereto by the
				  (Sheriff) (Commissioner of Correction of the City of New York).
Dated: ____________
_________
Judge or Justice
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter VI - Forms For Use In Courts Exercising Criminal Jurisdiction › Form 16-e - Final order of observation and dismissal of accusatory instrument

Current through Register Vol. 46, No. 28, July 10,
				2024
C.P.L Article 730
FORM 16-e
12/88
FINAL ORDER OF OBSERVATION AND
DISMISSAL OF ACCUSATORY INSTRUMENT
________ COURT OF________
COUNTY OF ________
________x
PEOPLE OF THE STATE OF NEW YORK, FINAL ORDER
				  OF
OBSERVATION AND
- against - DISMISSAL OF
ACCUSATORY
________, INSTRUMENT
Docket No. ________
Defendant. Indictment No. ________
________x
The above-named defendant, having been charged
				  with ________, in violation of ________, and having been examined pursuant to
				  court order by ________ psychiatric examiners, qualified in accordance with
				  law, and examination reports thereon having been made to this Court, and the
				  District Attorney and counsel for the defendant having been given copies of
				  such examination reports, and the Court having examined such examination
				  reports, copies of which are hereto attached,
(Strike out one of the following two
				  paragraphs)
AND no motion for a hearing having been
				  made,
AND a hearing having been held on the ________
				  day of ________and the following persons having appeared ____________
____________
____________
AND it appearing to my satisfaction that the
				  said defendant as a result of mental disease or defect lacks capacity to
				  understand the proceedings against (him) (her) or to assist in (his) (her) own
				  defense,
AND it further appearing that: [NOTE: Check
				  one of the following four paragraphs; strike out the rest.]
the local criminal court accusatory instrument
				  filed against the defendant is other than a felony complaint.
the indictment filed against the defendant
				  does not charge a felony.
the defendant has been convicted of an offense
				  other than a felony.
although a felony complaint has been filed
				  against the defendant, the District Attorney has consented to the entry of a
				  final order of observation.
NOW, on motion of ____________, it is
ORDERED that the above named defendant be
				  committed to the custody of the Commissioner of (OMH) (OMRDD) for care and
				  treatment in an appropriate facility of the (OMH) (OMRDD) to be designated by
				  said Commissioner for a period not to exceed ninety days from the date of this
				  order, and it is further
ORDERED, that the defendant, if (he) (she) be
				  in detention, be continued in detention at ________, pending designation of an
				  appropriate facility by the Commissioner of (OMH) (OMRDD), and, upon notice by
				  the appropriate Commissioner of the designated facility, be delivered thereto
				  by the (Sheriff) (Commissioner of Correction of the City of New York)
and it is further
ORDERED, that the accusatory instrument filed
				  in this court against such defendant is hereby dismissed.
Dated: ________
_________
Judge or Justice
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter VI - Forms For Use In Courts Exercising Criminal Jurisdiction › Form 16-f - Order of commitment

Current through Register Vol. 46, No. 28, July 10,
				2024
C.P.L. Article 730
FORM 16-f
12/88
ORDER OF COMMITMENT
________ COURT OF ________
COUNTY OF ________
________x
PEOPLE OF THE STATE OF NEW YORK,
ORDER OF COMMITMENT
- against -
Indictment No. ________
________
Defendant.
________x
The above named defendant, under indictment
				  for or convicted of the felony of ________, in violation of ________; and
				  having been examined pursuant to court order by ________ psychiatric examiners,
				  qualified in accordance with law; and examination reports thereon having made
				  to the court; and the District Attorney and counsel for the defendant having
				  been given copies of such examination reports; and the court having examined
				  such examination reports, copies of which are attached hereto,
(Strike out one of the following two
				  paragraphs)
AND no motion for a hearing having been
				  made,
AND a hearing having been held on the ________
				  day of ________ and the following persons having appeared ____________
____________
____________
____________
AND it appearing to my satisfaction that the
				  said defendant as a result of mental disease or defect lacks capacity to
				  understand the proceedings against (him) (her) or to assist in (his) (her) own
				  defense,
AND it appearing further that the maximum term
				  of imprisonment for the highest class of felony charged in the indictment
				  against the defendant or for the highest class of felony of which the defendant
				  was convicted is ________ years and that two thirds of such authorized maximum
				  term of imprisonment is ________ years, ________ months, ________ days,
NOW, on motion of ________, it is ORDERED that
				  the above named defendant is hereby adjudicated an incapacitated person and is
				  hereby committed to the custody of the Commissioner of (OMH) (OMRDD) for care
				  and treatment in an appropriate facility operated by the (OMH) (OMRDD) to be
				  designated by the appropriate Commissioner, for a period not to exceed one year
				  from the date of this order, and it is further
ORDERED that if the person in charge of the
				  facility in which the defendant is confined determines that the defendant is no
				  longer an incapacitated person, such person shall give notice in writing of
				  such determination to this court and to the District Attorney, and it is
				  further
ORDERED that the defendant, if (he) (she) be
				  in detention, be continued in detention at ________, pending designation of an
				  appropriate facility by the (OMH) (OMRDD), and upon notice by the appropriate
				  Commissioner of the designated facility, be delivered thereto by the (County
				  Sheriff) (Commissioner of Correction of the City of New York).
Dated:________
_________
Judge or Justice
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter VI - Forms For Use In Courts Exercising Criminal Jurisdiction › Form 16-g - Designation of institution for custody of defendant

Current through Register Vol. 46, No. 28, July 10,
				2024
C.P.L. Article 730
FORM 16-g
12/88
STATE OF NEW YORK
OFFICE OF MENTAL HEALTH/
OFFICE OF MENTAL RETARDATION AND DEVELOPMENTAL
				  DISABILITIES
DESIGNATION OF INSTITUTION FOR CUSTODY OF
				  DEFENDANT
NOTICE TO SHERIFF OR LOCAL DEPARTMENT OF
				  CORRECTION
TO: ________
________
________
________
Pursuant to the following designation and
				  order of court stated therein (copy attached), you are required to deliver the
				  defendant, ________, to the facility so designated.
________
Commissioner of (OMH) / (OMRDD)
NOTICE TO DIRECTOR OF FACILITY
TO: ________
________
________
________
Pursuant to the following designation and
				  order of court stated therein, your facility has been designated as appropriate
				  for care and treatment of the named defendant. Such defendant will be delivered
				  to your facility by the appropriate sheriff or local department of
				  correction.
____________
Commissioner of (OMH) / (OMRDD)
DESIGNATION
The ________ Court, ________ County, has
				  committed to my custody ________, the defendant in a criminal proceeding
				  pending in such court, pursuant to an order dated ________ (copy attached). I
				  hereby designate ________as the appropriate facility for the care and treatment
				  of such defendant.
Dated: ____________
___________
For the Commissioner of (OMH)
(OMRDD)
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter VI - Forms For Use In Courts Exercising Criminal Jurisdiction › Form 16-I - Notice to defendant of application for order of retention

Current through Register Vol. 46, No. 28, July 10,
				2024
C.P.L. Article 730
FORM 16-i
12/88
NOTICE TO DEFENDANT OF APPLICATION
FOR ORDER OF RETENTION
________ COURT OF ________
COUNTY OF ________
________x
IN THE MATTER
OF
The Application for an Order of NOTICE TO
				  DEFENDANT
Retention Pursuant to the OF APPLICATION
				  FOR
Criminal Procedure Law Indictment No.
				  ________
________
An Incapacitated Person
________x
You are hereby notified that the attached
				  application for your continued retention in the custody of the Commissioner of
				  (OMH) (OMRDD) on the ground that you are an incapacitated person will be made
				  to the ________ Court, County of ________ on ________, 19 ________. You have
				  ten days from the date of service of this notice upon you to request a hearing
				  on the issues raised by this application. You may make such request by giving
				  notice of your desire for a hearing to your ward physician, the person in
				  charge of the institution where you are confined, to the Mental Hygiene Legal
				  Service or by writing directly to the court.
You are also hereby advised that the Mental
				  Hygiene Legal Service, which is an agency of the Supreme Court of the State of
				  New York, has been established to provide you and others interested in your
				  welfare with assistance and information as to your rights under the law and the
				  procedures governing your retention. You or others on your behalf are entitled
				  to communicate with a representative of the Service at any time. A copy of this
				  notice has been sent to the Service.
The location and telephone number of the
				  Mental Hygiene Legal Service office serving this facility appears below.
You may communicate with the Mental Hygiene
				  Legal Service office directly or you may request a member of the facility staff
				  to inform the Service of your desire to see a representative. A member of the
				  Service will then see you in this facility.
Mental Hygiene Legal Service
____________ Judicial Department
____________
____________
Tel. No. ____________
____________
____________
Signature of Facility Director
Dated: ________ ________
Printed Name
____________
Facility
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter VI - Forms For Use In Courts Exercising Criminal Jurisdiction › Form 16-k - Notification of fitness to proceed

Current through Register Vol. 46, No. 28, July 10,
				2024
C.P.L. Article 730
FORM 16-k
12/88
NOTIFICATION OF FITNESS TO PROCEED
________ COURT OF ________
COUNTY OF ________
________x
PEOPLE OF THE STATE OF NEW YORK, NOTIFICATION
				  OF FITNESS
TO PROCEED
- against -
________, Docket No. ________________
Defendant. Indictment No.
				  ________________
________x
TO: The above-named court
TO: District Attorney, ________ County
You are hereby notified that the above-named
				  defendant, who was committed to the custody of the Commissioner of the (OMH)
				  (OMRDD) by order of this court, dated ________, and thereafter retained in such
				  custody by further order or orders of retention dated ____________
____________
(indicate if none)
and who is now confined, pursuant to
				  designation of said Commissioner, at ________ facility, of which I am in
				  charge, has been determined by me to be no longer an incapacitated
				  person.
You are hereby requested to direct the Sheriff
				  of your county or your local Department of Correction to take custody of the
				  said defendant in accordance with the law.
Dated: ________
_________
Signature of Director
_________
Printed Name
_________
Facility
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter VI - Forms For Use In Courts Exercising Criminal Jurisdiction › Form 16-l - Order of remand

Current through Register Vol. 46, No. 28, July 10,
				2024
C.P.L. Article 730
FORM 16-l
12/88
ORDER OF REMAND
________ COURT OF ________
COUNTY OF ________
________x
PEOPLE OF THE STATE OF NEW YORK,
ORDER OF REMAND
- against -
Indictment No.
________,
Defendant.
________x
The above named defendant, having been
				  indicted for or convicted of the felony of ________, in violation of ________,
				  and such defendant having been adjudicated and committed to the custody of the
				  Commissioner of (OMH) (OMRDD), to be placed in an appropriate facility by order
				  of this court dated ________, and such defendant being now in the custody of
				  said Commissioner and confined in ________ facility, located at ________ and an
				  application, dated ________, having been received from ________, the person in
				  charge of the facility where the defendant is confined, for an order of
				  retention of said defendant, and notice of such application having been given
				  to the defendant, the District Attorney, and the Mental Hygiene Legal
				  Service,
AND a hearing having been held on the ________
				  day of ________ and the following persons having appeared ____________
____________
AND it appearing to my satisfaction that the
				  said defendant has the capacity to understand the proceedings against (him)
				  (her) and to aid in (his) (her) own defense and is no longer an incapacitated
				  person.
It is therefore,
ORDERED, that the criminal action against the
				  defendant shall proceed and the defendant is remanded to the custody of the
				  (County Sheriff) (Commissioner of Correction of the City of New York).
Dated: ________
_________
Judge or Justice
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter VI - Forms For Use In Courts Exercising Criminal Jurisdiction › Form 16-m - Certification of custody

Current through Register Vol. 46, No. 28, July 10,
				2024
C.P.L. Article 730
FORM 16-m
12/88
CERTIFICATION OF CUSTODY
________ COURT OF ________
COUNTY OF ________
________x
PEOPLE OF THE STATE OF NEW YORK, CERTIFICATE
				  OF CUSTODY
Docket No. ________
Indictment No. ________
-against-
________,
Defendant.
________ x
TO: The above named court
TO: District Attorney, ________ County
This is to certify that the above-named
				  defendant who was committed to my custody or ordered retained in my custody by
				  (a temporary order of observation) (the last order of retention), dated
				  ________, 19 ________, was in my custody on the expiration date of such
				  order.
Dated: ________
_________
Signature of Director
_________
Printed Name
_________
Facility
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter VI - Forms For Use In Courts Exercising Criminal Jurisdiction › Form 16-n - Notice of dismissal of indictment

Current through Register Vol. 46, No. 28, July 10,
				2024
C.P.L. Article 730
FORM 16-n
12/88
STATE OF NEW YORK
OFFICE OF MENTAL HEALTH/
OFFICE OF MENTAL RETARDATION AND DEVELOPMENTAL
				  DISABILITIES
NOTICE OF DISMISSAL OF INDICTMENT
TO: ________
________
________
The Commissioner of (OMH) (OMRDD) was served
				  on ________, 19 ________, with an order of the ________ Court, County of
				  ________, dismissing the indictment against ________, a patient presently in
				  the custody of the Commissioner pursuant to order of such court and confined at
				  your facility.
Authority to retain the above-named patient
				  will cease thirty days from the date of said service. The patient should
				  therefore be examined and a determination made as to the need for continued
				  in-patient care and treatment.
If the patient is found to be mentally ill or
				  mentally defective and in need of continued in-patient care and treatment, the
				  Director should proceed in accordance with the appropriate provisions of the
				  Mental Hygiene Law and section
				  111.7 of the Rules of the Chief
				  Administrator of the Courts (adopted as a regulation of the Office of Mental
				  Health by section 9.1 of Title 14 NYCRR).
________
For the Commissioner of
(OMH) (OMRDD)
Dated: ________
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter VII - Surrogate's Court Forms › Subchapter A - Forms Authorized By Section 207.52 › Surrogate's Forms › Form A-2 - Citation

Current through Register Vol. 46, No. 28, July
					 10, 2024
ADMINISTRATION CITATION File No.
						________
SURROGATE'S COURT - ________ COUNTY
CITATION
THE PEOPLE OF THE STATE OF NEW
						YORK,
By the Grace of God Free and
						Independent,
TO ________
A petition having been duly filed by
						________, who is domiciled at ________
YOU ARE HEREBY CITED TO SHOW CAUSE before
						the Surrogate's Court, ________ County, at ________, New York, on ________,
						19________, at ________ o'clock in the ________ noon of that day, why a decree
						should not be made in the estate of ________ lately domiciled at ________ in
						the County of ________, New York, granting Letters of Administration upon the
						estate of the decedent to ________ or to such other person as may be entitled
						thereto.
(State any further relief
						requested)
____________
____________
HON.
______________
Surrogate
Dated, Attested and Sealed,
______
(I) [FN3] ( ____________ and I jointly and
						severally) undertake that defendant will appear in
______________
Chief Clerk
Name of
Attorney for Petitioner ____________ Tel.
						No. ________
Address of Attorney ____________
This citation is served upon you as
						  required by law. You are not required to appear. If you fail to appear it will
						  be assumed you do not object to the relief requested. You have a right to have
						  an attorney-at-law appear for you.
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter VII - Surrogate's Court Forms › Subchapter A - Forms Authorized By Section 207.52 › Surrogate's Forms › Form A-3 - Notice of application for letters of administration

Current through Register Vol. 46, No. 28, July
					 10, 2024
SURROGATE'S COURT OF THE STATE OF NEW
						YORK
COUNTY OF ________
________X
ADMINISTRATION PROCEEDING
Estate of ________ NOTICE OF APPLICATION
						FOR
LETTERS OF ADMINISTRATION
a/k/a (SCPA 1005)
________ Deceased. File No.
						________
________X
Notice is Hereby Given That:
(1) an application for Letters of
						Administration upon the estate of the above-named decedent, has been made by
						________, petitioner, whose post office address is: ________
(2) each and every name of the intestate
						decedent known to the undersigned is as indicated in the above caption.
(3) petitioner prays that a decree be made
						directing the issuance of Letters of Administration to ________
(4) the name and post office address of
						each and every distributee of the above-named decedent, as set forth in the
						petition and known to the undersigned, are as follows:
(a) Distributees who have been duly cited,
						have waived citation or have appeared in this proceeding:
Name of Distributee Domicile and Post
						Office Address
________ ________
________ ________
________ ________
(b) Other Distributees:
Name of Distributee Domicile and Post
						Office Address
________ ________
________ ________
________ ________
[CONTINUE ON REVERSE SIDE IF MORE SPACE
						NEEDED]
(5) That the undersigned does not know of
						any other distributees of the said decedent.
(6) That Letters of Administration will
						issue on or after ________, 19________.
Dated: ____________, 19________
______________
Signature of Petitioner or Attorney
______________
Attorney for Petitioner
______________
Print Name
______________
Address (Office)
______________
Address
Tel. No. ________
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter VII - Surrogate's Court Forms › Subchapter A - Forms Authorized By Section 207.52 › Surrogate's Forms › Form A-4 - Affidavit of service of mailing notice of application

Current through Register Vol. 46, No. 28, July
					 10, 2024
SURROGATE'S COURT OF THE STATE OF NEW
						YORK
COUNTY OF ________
________X
ADMINISTRATION PROCEEDING AFFIDAVIT OF
						MAILING
Estate of ________ NOTICE OF APPLICATION
						FOR
LETTERS OF ADMINISTRATION
a/k/a (SCPA 1005)
________ Deceased. File No.
						________
________X
STATE OF NEW YORK)
) ss.:
COUNTY OF ________)
________, residing at ________, New York,
						being duly sworn, deposes and says that deponent is over the age of eighteen
						years; that on ________, 19 ________, deponent mailed a copy of the foregoing
						Notice of Application for Letters of Administration, contained in a securely
						closed postpaid wrapper, directed to each of the persons named in paragraph
						4(b), respectively, as follows:
whose post office address is
						____________
whose post office address is
						____________
whose post office address is
						____________
whose post office address is
						____________
whose post office address is
						____________
whose post office address is
						____________
whose post office address is
						____________
whose post office address is
						____________
by depositing the document in a letter box
						or other official depository under the exclusive care and custody of the United
						States Post Office, located at:
____________
______________
Signature
Sworn to before me this
________ day of ________,
						19________.
_________
Notary Public
Commission Expires: ________
(Affix Stamp or Seal)
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter VII - Surrogate's Court Forms › Subchapter A - Forms Authorized By Section 207.52 › Surrogate's Forms › Form A-5 - Notice to consul general

Current through Register Vol. 46, No. 28, July
					 10, 2024
SURROGATE'S COURT OF THE STATE OF NEW
						YORK
COUNTY OF ________
________X
ADMINISTRATION PROCEEDING
Estate of ________ NOTICE TO CONSUL
GENERAL
a/k/a
________ Deceased. File No.
						________
________X
TO THE CONSUL GENERAL OF ________
AT THE CITY OF NEW YORK
PLEASE TAKE NOTICE that a petition (will
						be)(has been) presented to the Surrogate's Court County of ________, on
						________, 19________, with respect to the Estate of the above-named decedent
						and it appears from the petition that:
a. the deceased was a subject of
						________or
b. the following distributees are
						nonresidents of the United States:
Names Addresses Citizenship
____________ ____________
						____________
____________ ____________
						____________
____________ ____________
						____________
____________ ____________
						____________
______________
Attorney for Petitioner
______________
Address
________
______________
Telephone No.
STATE OF NEW YORK)
) ss.:
COUNTY OF ________)
________ being duly sworn, says:
That he/she resides at ________, New York;
						that on the ________, 19________, he/she served a copy of the above NOTICE on
						the Consul General of ________ at ________, New York City, by mailing same to
						the office of the aforesaid Consul.
______________
Signature
Sworn to before me this
________ day of ________,
						19________.
_________
Notary Public
Commission Expires: ________
(Affix Stamp or Seal)
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter VII - Surrogate's Court Forms › Subchapter A - Forms Authorized By Section 207.52 › Surrogate's Forms › Form A-6 - Decree appointing administrator

Current through Register Vol. 46, No. 28, July
					 10, 2024
At a Surrogate's Court of the State of New
						York held in and for the County of ________, at ________ New York on ________,
						19________.
P R E S E N T:
Hon.
______
Surrogate
________X
ADMINISTRATION PROCEEDING DECREE
						APPOINTING
Estate of ________ ADMINISTRATOR
a/k/a
________ Deceased. File No.
						________
________X
A petition having been filed by ________
						praying that administration of the goods, chattels and credits of the
						above-named decedent by granted to ________; and all persons named in such
						petition, required to be cited, having been duly cited to show cause why such
						relief should not be granted or having duly waived the issuance of such
						citation and consented thereto; and it appearing that ________ is in all
						respects competent to act as administrator of the estate of said deceased, and
						a
[ ] bond having been filed and approved in
						the amount of $________
[ ] bond having been dispensed with
						and
such representative(s) otherwise having
						qualified therefor; now, after due deliberation, with no one appearing in
						opposition thereto, it is
ORDERED AND DECREED that Letters of
						Administration issue to
____________
____________
ORDERED AND DECREED, that the authority of
						such representative(s) be restricted in accordance with, and that letters
						herein issued contain, the limitation, if any, which appears immediately
						below.
____________
____________
______________
Surrogate
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter VII - Surrogate's Court Forms › Subchapter A - Forms Authorized By Section 207.52 › Surrogate's Forms › Form A-7 - Affidavit of regularity

Current through Register Vol. 46, No. 28, July
					 10, 2024
SURROGATE'S COURT OF THE STATE OF NEW
						YORK
COUNTY OF ________
________X
ADMINISTRATION PROCEEDING
Estate of ________ AFFIDAVIT OF
REGULARITY
a/k/a
________ Deceased. File No.
						________
________X
STATE OF NEW YORK)
) ss.:
COUNTY OF ________)
________, being duly sworn, deposes and
						says:
1. That he/she is the attorney for
						________, the ________ herein.
2. That all parties to this proceeding
						have been duly cited or have waived the issuance and service of a citation
						herein and consented to the entry of a decree or order in the following manner
						and form:
a. By service of a copy of the citation
						issued herein upon the following persons in the manner prescribed by SCPA
						307(1), as more fully appears by the proof of service thereof, made in the
						manner and form by law and filed on ________, 19________.
Name Address Date of Service
____________ ____________
						____________
____________ ____________
						____________
____________ ____________
						____________
b. By service pursuant to an order made
						herein on ________, 19 ________, under SCPA 307(2), as more fully appears by
						the proof of service thereof, made in the manner prescribed by law and filed
						herein on ________, 19________.
Name Address Date of Service
(Parties who waive or consent)
____________ ____________
						____________
____________ ____________
						____________
____________ ____________
						____________
c. By duly executed waivers of the
						issuance and service of the citation herein and a consent to the entry of a
						decree or order and filed herein on ________, 19________, by:
Name Address Date of Waiver
____________ ____________
						____________
____________ ____________
						____________
____________ ____________
						____________
3. That no notice of appearance has been
						filed herein, except by ________.
4. That all of the persons named above are
						of full age and are of sound mind, excepting those hereinbefore stated to be
						otherwise, and comprise all the parties, as deponent verily believes, who have
						any interest in this proceeding.
______________
Signature
Sworn to before me this
________ day of ________,
						19________.
_________
Notary Public
Commission Expires: ________
(Affix Stamp or Seal)
NB. - Where a person cited is an infant,
						incarcerated, a mentally ill person, a mentally retarded person, a
						developmentally disabled person, an alcohol abuser or for any cause is mentally
						incapable of adequately protecting his/her rights, it must appear in the
						foregoing affidavit. The age of the infant also must be
						stated.
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter VII - Surrogate's Court Forms › Subchapter A - Forms Authorized By Section 207.52 › Surrogate's Forms › Form A-8 - Waiver and renunciation (individual)

Current through Register Vol. 46, No. 28, July
					 10, 2024
SURROGATE'S COURT OF THE STATE OF NEW
						YORK
COUNTY OF ________
________X
ADMINISTRATION PROCEEDING WAIVER OF
						CITATION,
Estate of ________ RENUNCIATION AND
						CONSENT
TO APPOINTMENT OF
a/k/a ADMINISTRATOR (INDIVIDUAL)
________ Deceased. File No.
						________
________X
The undersigned, a distributee or creditor
						of the above named decedent and being of full age and sound mind hereby
						voluntarily appears in the Surrogate's Court of ________ County, New York, and
						waives the issuance and service of citation in this matter, renounces all right
						to Letters of Administration of the above captioned estate and consents
						that
[ ] Letters of Administration
[ ] Letters of Administration with
						Limitations
[ ] Limited Letters of Administration be
						issued to ________ or any other person or persons entitled thereto without any
						notice whatsoever to the undersigned, and consents
[ ] that a bond be dispensed with
[ ] that a bond in the amount of $
						________ be posted and hereby specifically release any claim I might have under
						any bond that may be filed.
Date
Signature
_______
Street Address
Relationship
Print Name
Town/State/Zip
STATE OF NEW YORK)
) ss.:
COUNTY OF ________)
On ________, 19 ________, before me
						personally appeared ________ to me known and known to me to be the person
						described in and who executed the foregoing waiver and consent and each duly
						acknowledged the execution thereof.
______________
Name of Attorney
______________
Notary Public
______________
Address
Commission Expires: ________
(Affix Stamp or Seal) ________
______________
Telephone No.
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter VII - Surrogate's Court Forms › Subchapter A - Forms Authorized By Section 207.52 › Surrogate's Forms › Form A-9 - Waiver and renunciation (corporation)

Current through Register Vol. 46, No. 28, July
					 10, 2024
SURROGATE'S COURT OF THE STATE OF NEW
						YORK
COUNTY OF ________
________X
ADMINISTRATION PROCEEDING WAIVER OF
						CITATION AND
Estate of ________ CONSENT TO
						APPOINTMENT
OF ADMINISTRATOR
a/k/a (CORPORATION)
________ Deceased. File No.
						________
________X
The undersigned corporation, a creditor of
						the above-named decedent, hereby voluntarily appears in the Surrogate's Court
						of ________ County, New York, and waives the issuance and service of a citation
						in this matter and consents that Letters of Administration be issued to
						________ or any other person or persons entitled thereto without any notice
						whatsoever to the undersigned, without furnishing a bond or other security for
						the faithful performance of the duties of that office and specifically
						releasing any claim it might have under any bond that may be furnished.
DATE: ____________, 19________
______________
(Name of Corporation)
By:
(Signature of Officer)
(Type Name and Title)
STATE OF NEW YORK)
) ss.:
COUNTY OF ________)
On ________, 19________, before me
						personally came ________ to me known, who being duly sworn did say that: (s)he
						resides at; (s)he is a ________ of ________, the corporation described in and
						which executed the foregoing waiver and consent; and that (s)he signed the same
						thereto by order of the board of directors of the corporation.
______________
Name of Attorney
______________
Notary Public
______________
Address
Commission Expires: ________
(Affix Stamp or Seal) ________
______________
Telephone No.
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter VII - Surrogate's Court Forms › Subchapter A - Forms Authorized By Section 207.52 › Surrogate's Forms › Form A-10 - Affidavit of service of citation

Current through Register Vol. 46, No. 28, July
					 10, 2024
STATE OF NEW YORK
SURROGATE'S COURT: COUNTY OF
						________
Note: File Proof of Service at least 2
						days before return date. State clearly date, time and place of service and name
						of person served (Uniform Rules 207.7(c))
________x
ADMINISTRATION PROCEEDING
Estate of ________ AFFIDAVIT OF SERVICE
						OF
CITATION (Adult)
a/k/a
________ Deceased. File No.________
________x
STATE OF NEW YORK)
) ss.:
COUNTY OF ________)
________ of ________, being duly sworn,
						says that I am over the age of eighteen years; that I made personal service of
						the citation herein dated ________, 19________, on each person named below,
						each of whom deponent knew to be the person mentioned and described in said
						citation, by delivering to and leaving with each of them personally a true copy
						of said citation, as follows:
On ________, description, viz: sex
						________, color of skin ________, color of hair ________, approximate age
						________, weight ________, height ________, at ________ o'clock ________.m. on
						the ________ day of ________, 19________, at ________.
On ________, description, viz: sex
						________, color of skin ________, color of hair ________, approximate age
						________, weight ________, height ________, at ________ o'clock ________.m. on
						the ________ day of ________, 19________, at ________.
On ________, description, viz: sex
						________, color of skin ________, color of hair ________, approximate age
						________, weight ________, height ________, at ________ o'clock ________.m. on
						the ________ day of ________, 19________, at ________.
That none of the aforesaid persons is in
						the Military Service as defined by the Act of Congress known as the "Soldiers'
						and Sailors' Civil Relief Act of 1940" and in the New York "Soldiers' and
						Sailors' Civil Relief Act."
________
Sworn to before me this
________ day of ________,
						19________.
_________
Notary Public
Commission Expires: ________
(Affix Stamp or Seal)
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter VII - Surrogate's Court Forms › Subchapter A - Forms Authorized By Section 207.52 › Surrogate's Forms › Form AA-2 - Citation

Current through Register Vol. 46, No. 28, July
					 10, 2024
ANCILLARY ADMINISTRATION CITATION File No.
						________
SURROGATE'S COURT - COUNTY
CITATION
THE PEOPLE OF THE STATE OF NEW
						YORK,
By the Grace of God Free and
						Independent
TO
A petition having been duly filed by
						____________, who is domiciled at ____________
YOU ARE HEREBY CITED TO SHOW CAUSE before
						the Surrogate's Court, ________ County, at ________, New York, on ________, at
						o'clock in the noon of that day, why a decree should not be made in the estate
						of ____________
lately domiciled at ____________
granting ancillary administration and
						directing that
[ ] Ancillary Letters of Administration
						issue to: ____________
[ ] Ancillary Letters of Administration
						d.b.n. issue to: ____________
(State any further relief
						requested)
HON.
Dated, Attested and Sealed,
						Surrogate
________ ________
(Seal) Chief Clerk
____________
Attorney for Petitioner Telephone
						Number
____________
Address of Attorney
[Note: This citation is served upon you as
						required by law. You are not required to appear. If you fail to appear it will
						be assumed you do not object to the relief requested. You have a right to have
						an attorney appear for you.]
AA-2 (12/97)
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter VII - Surrogate's Court Forms › Subchapter A - Forms Authorized By Section 207.52 › Surrogate's Forms › Form AA-3 - Notice of application for ancillary letters of administration

Current through Register Vol. 46, No. 28, July
					 10, 2024
SURROGATE'S COURT OF THE STATE OF NEW
						YORK
COUNTY OF
________X
ANCILLARY ADMINISTRATION PROCEEDING, WILL
						OF NOTICE OF APPLICATION FOR
ESTATE OF ANCILLARY LETTERS OF
						ADMINISTRATION
a/k/a
a domiciliary of the State of File No.
						________
Deceased.
________X
Notice is hereby given that:
1. An application for ancillary letters of
						administration upon the estate of ____________, deceased,
domiciled at ____________
State of ________ has been offered for
						ancillary administration in the Surrogate's Court for the County of
						________.
2. Each and every name of the intestate
						decedent known to the undersigned is as indicated in the above caption.
3. Petitioner prays that a decree be made
						directing the issuance of [ ] Ancillary Letters of Administration [ ] Ancillary
						Letters of Administration d.b.n. to:
____________
4. The name and post office address of
						each and every distributee of the above-named decedent, as set forth in
						Paragraph 6 of the petition and known to the undersigned, is/are as
						follows:
NAME OF DISTRIBUTEE DOMICILE AND POST
						OFFICE ADDRESS
(USE ADDITIONAL SHEETS IF
						NECESSARY)
Date ________
[Note: Complete Affidavit of Mailing. If
						serving infant 14 years of age or older, list and mail to infant as well as
						parent or guardian.]
Name of New York Attorney: ____________
						Tel. No.:________
Address of New York Attorney:
						____________
AA-3 (12/97)
NAME OF DISTRIBUTEE DOMICILE AND POST
						OFFICE ADDRESS
AFFIDAVIT OF MAILING NOTICE OF ANCILLARY
						ADMINISTRATION
STATE OF NEW YORK)
) ss.:
COUNTY OF)
________, residing at ____________
being duly sworn, says that he/she is over
						the age of 18 years, that on the ________ day of ________, he/she deposited in
						the post office or in a post office box regularly maintained by the government
						of the United States in the ________ of ________, State of New York, a copy of
						the foregoing Notice of Application for Ancillary Letters of Administration
						contained in a securely closed postpaid wrapper directed to each of the persons
						named in said notice at the places set opposite their respective names.
________
Sworn to before me this ________ Signature
						day of ________, ________
________
Print Name
________
Notary Public
Commission Expires:
(Affix Notary Stamp or Seal)
Name of New York Attorney: ____________
						Tel. No.: ________
Address of New York Attorney:
						____________
AA-3 (12/97)
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter VII - Surrogate's Court Forms › Subchapter A - Forms Authorized By Section 207.52 › Surrogate's Forms › Form ADM/DBN-2 - Citation

Current through Register Vol. 46, No. 28, July
					 10, 2024
LETTERS OF ADMINISTRATION d.b.n. CITATION
						File No. ____________
SURROGATES'S COURT - COUNTY
CITATION
THE PEOPLE OF THE STATE OF NEW
						YORK,
By the Grace of God Free and
						Independent
TO
A petition having been duly filed by
						____________, who is domiciled at ____________
YOU ARE HEREBY CITED TO SHOW CAUSE before
						the Surrogate's Court, ____________ County,
at ____________, New York, on ________,
						________,
at o'clock in the noon of that day, why a
						decree should not be made in the estate of ____________
lately domiciled at ____________
granting administration d.b.n. and
						directing that
[ ] Letters of Administration d.b.n. issue
						to: ____________
[ ] Letters of Administration d.b.n. with
						Limitations issue to: ____________
[ ] Limited Letters of Administration
						d.b.n. issue to: ____________
(State any further relief
						requested)
HON.
Dated, Attested and Sealed,
						Surrogate
______
(I) [FN3] ( ____________ and I jointly and
						severally) undertake that defendant will appear in
______________
Chief Clerk
Attorney for Petitioner
Telephone Number
Address of Attorney
[Note: This citation is served upon you as
						required by law. You are not required to appear. If you fail to appear it will
						be assumed you do not object to the relief requested. You have a right to have
						an attorney appear for you.]
ADM/DBN-2 (7/98)
New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter VII - Surrogate's Court Forms › Subchapter A - Forms Authorized By Section 207.52 › Surrogate's Forms › Form ADM/DBN-3 - Waiver of citation, renunciation and consent to appointment of administration d.b.n. (individual)

Current through Register Vol. 46, No. 28, July
					 10, 2024
SURROGATE'S COURT OF THE STATE OF NEW
						YORK
COUNTY OF
________X
LETTERS OF ADMINISTRATION d.b.n. WAIVER OF
						CITATION,
ESTATE OF RENUNCIATION AND CONSENT
TO APPOINTMENT OF
ADMINISTRATOR d.b.n.
a/k/a (INDIVIDUAL)
File No. ________
Deceased.
________X
The undersigned, a distributee or creditor
						of the above-named decedent, and being of full age and sound mind, hereby
						voluntarily appears in the Surrogate's Court of ________ County, New York, and
						waives the issuance and service of citation in this matter, renounces all
						rights to Letters of Administration d.b.n. of the above captioned estate and
						consents that
[ ] Letters of Administration
						d.b.n.
[ ] Letters of Administration d.b.n. with
						Limitations
[ ] Limited Letters of Administration
						d.b.n.
be issued to ____________
or any other person or persons entitled
						thereto without any notice whatsoever to the undersigned, and consents
[ ] that a bond be dispensed with
[ ] that a bond in the amount of
						$____________ be posted and hereby specifically releases any claim the
						undersigned might have under any bond that may be filed.
____
Date
_______
Signature
_______
Street Address
_______
Relationship
_______
Print Name
_______
Town/State/Zip
STATE OF NEW YORK
COUNTY OF ss.:
On ____________, ________, before me
						personally came
____________
to me known and known to be the person
						described in and who executed the foregoing instrument. Such person duly swore
						to such instrument before me and duly acknowledged that he/she executed the
						same.
______________
Notary Public
Commission Expires:
(Affix Notary Stamp or Seal)
Name of Attorney: ____________ Tel.
						No.:________
Address of Attorney: ____________
ADM/DBN-3 (7/98)