New York Codes, Rules and Regulations
Title 22 - JUDICIARY
Subtitle D - Forms
Chapter IX - Forms For Commercial Claims Parts Of Court
Form UCS-124 - Demand letter

UCS-124 (Rev. 11/90)

Commercial Claim Arising Out of a Consumer Transaction

DEMAND LETTER

To:

____________

Name of defendant Date

________

________

____________

Address

You have not paid a debt owed ________, which you incurred on ________, 199 ________. The amount remaining upaid on the debt is $ ________. Demand is hereby made that this money be paid. Unless payment of this amount is received by the undersigned no later than ________, 199 ________, a lawsuit will be bought against you in the Commercial Claims Part of the Court.

If a lawsuit is brought, you will be notified of the hearing date, and you will be entitled to appear at the hearing and present any defense you may have to this claim.

(If applicable) Our records show that you have made the following payment in partial satisfaction of this debt (fill in dates and amounts paid) ________.

A copy of the original debt instrument -- your agreement to pay -- is attached. [The names and addresses of the parties to that original debt agreement are ________

____________

____________

(iv) , CPLR 315 (Order of Publication

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________

_________________

Typed or Printed Name and Address of Claimant