SMALL CLAIMS PETITION (NEW YORK)

Court: [NYC Civil Court / City Court / Town or Village Justice Court] - Small Claims Part
Plaintiff: [Name/Address]
Defendant: [Name/Address]
Amount Claimed: [$] (within small-claims jurisdictional limit)

1. JURISDICTION AND VENUE

• Defendant resides/does business in this county or the claim arose here; amount is within the applicable New York small-claims limit ([$]).
• This claim seeks only monetary damages within the Small Claims Part's jurisdiction.

2. CLAIM SUMMARY

• Nature of claim: [Breach of contract / lemon law refund / defective goods / services / deposits / property damage / debt].
• Facts (concise): [What happened, when, where; promises; payments; failures].
• Amount calculation: [Principal] + [incidental/consequential] - [credits] = [$]**.

3. RELIEF REQUESTED

• Judgment for [$], plus allowable costs/fees [if statute allows] and statutory interest (if permitted).

4. ATTEMPTS TO RESOLVE

• Prior demand sent on [DATE]; no resolution. [Attach].

5. EVIDENCE CHECKLIST (ATTACH/BRING)

• Contracts/receipts/invoices; correspondence; photos/videos; repair orders; timeline; witness statements; prior demands; statutes supporting claim (e.g., lemon law cite).

6. SERVICE

• Service is per the court's small-claims rules: [clerk/court mailing / sheriff/constable / licensed process server].
• Provide Defendant's service address and any alternate addresses for service.

7. SIGNATURE

[Name]
Date: [DATE]