TRANSCRIPT OF JUDGMENT
JUDGMENT DEBTOR
Trade Last Surname Given Name or Profession Known Address ________________________________________________________________________
AMOUNT OF JUDGMENT
JUDGMENT CREDITOR JUDGMENT RENDERED
Name Address Damages Court
County
Date
Hr. and Min.
Costs JUDGMENT
DOCKETED
Total Date
Hr. and Min. ________________________________________________________________________
REMARKS: DATE AND MANNER
ATTORNEY FOR JUDGMENT OF CHANGE OF STATUS OF
CREDITOR JUDGMENT Name Address
EXECUTION SATISFIED
When Returned How and to When Issued Unsatisfied When What Extent ________________________________________________________________________
This form is to be immediately followed by the following certification with the appropriate words being chosen among those which appear in brackets, except that in the event the person certifying the transcript keeps no seal, the words "and affixed my official seal" shall be omitted:
STATE OF NEW YORK COUNTY OF........
(seal)
I,.................(Clerk, Judge or Justice) of the (County of.......; or......Court, County of........), hereby certify that the above is a correct transcript from the docket of judgments in my office.
IN TESTIMONY WHEREOF, I have hereunto set my name and affixed my official seal this......day of.............19........
(Clerk, Judge or Justice).
Any change in the status of the judgment since the time of its original entry on the docket of the person certifying the transcript shall be indicated in the space provided for "REMARKS; DATE AND MANNER OF CHANGE OF STATUS OF JUDGMENT" the same to include any assignment, reversal, modification, discharge, and any other such disposition affecting the judgment; satisfactions and reductions, to whatever extent and in whatever fashion the same are affected, shall be indicated in the space entitled "SATISFIED-WHEN, HOW AND TO WHAT EXTENT."
N.Y. Jud. Law § 255-C