1 At the Matrimonial/IAS Part _____
of New York State Supreme Court at
2 the Courthouse, _______________
3 County, on ___________________.
Present:
4 Hon. Justice/Referee
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5
6 Index No.:
Plaintiff, Calendar No.:
-against-
FINDINGS OF FACT
AND
CONCLUSIONS OF LAW
7
Defendant.
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8 The issues of this action having been submitted to OR been heard before me
as one of the Justices/Referees of this Court at Part _____ hereof, held in and for the County
of __________________ on ________________, and having considered the allegations and proofs
of the respective parties, and due deliberation having been had thereon. NOW, after reading and considering the papers submitted hearing the testimony ,
I do hereby make the following findings of essential facts which I deem established by the evidence
and reach the following conclusions of law.
FINDINGS OF FACT
9 FIRST: Plaintiff and Defendant were both eighteen (18) years of age or over when this
action was commenced.
10 SECOND:
A) The has resided in New York State for a continuous period of at least two
Plaintiff
Defendant
years immediately preceding the commencement of this divorce action.
================================ OR===============================
B) The resided in New York State on the date of commencement of this
Plaintiff
Defendant
(UD-10 Rev. 3/1/16)
divorce action and for a continuous period of one year immediately preceding the
commencement of this divorce action AND:
a. the parties were married in New York State.
or
b. the parties have resided as married persons in New York State.
================================ OR================================
C) The cause of action occurred in New York State and resided in New York
Plaintiff
Defendant
State for a continuous period of at least one year immediately preceding the commencement of this divorce action.
================================ OR================================
D) The cause of action occurred in New York State and both parties were residents at the
time of commencement of this divorce action.
11 THIRD: The Plaintiff and the Defendant were married on the date of
in the City, Town or Village of , County of , State or
Country of ; in a civil OR religious ceremony.
12 FOURTH: That no decree, judgment or order of divorce, annulment or dissolution of
marriage has been granted to either party against the other in any Court of competent jurisdiction of
this state or any other state, territory or country, and that there is no other action pending for divorce
by either party against the other in any Court.
13 FIFTH: That this action was commenced by filing the Summons With Notice OR
Summons and Verified Complaint with the County Clerk on .
Defendant was served personally OR pursuant to Court order dated
with the above stated pleadings and the Notice of Automatic Orders. Defendant defaulted in
appearance OR appeared and waived his / her right to answer OR filed an answer
/ amended answer withdrawing any previous pleading, and neither admitting nor denying the allegations in plaintiff’s complaint, and consenting to entry of judgment.
14 SIXTH: That Defendant is not in the military service of the United States of America,
the State of New York, or any other state. OR Defendant is a member of the military service
of the and has appeared by affidavit and does not oppose the
action OR is in default.
(UD-10 Rev. 3/1/16 )
15 SEVENTH: There are no children of the marriage OR There is/are _____
child(ren) of the marriage. Their name(s), social security number(s), address(es) and date(s) of birth are:
Name & Social Security Number Date of Birth Address
_________________________________ ____________ _____________________
_________________________________ ____________ _____________________
_________________________________ ____________ _____________________
_________________________________ ____________ __________________
_________________________________ ____________ __________________
16 EIGHTH: The grounds for divorce that are alleged in the Verified Complaint were proved
as follows:
Cruel and Inhuman Treatment (DRL §170(1)): At the following times Defendant committed the following act(s) which endangered
the Plaintiff’s physical or mental well being and rendered it unsafe or improper forPlaintiff to continue to reside with Defendant.
(State the facts that demonstrate cruel and inhuman conduct giving dates, places and
specific acts. Conduct may include physical, verbal, sexual or emotional behavior).
(Attach an additional sheet, if necessary).
Abandonment (DRL 170(2):
That commencing on or about , and continuing for a period of more
than one (1) year immediately prior to commencement of this action, the Defendant left the
marital residence of the parties located at
, and did not return. Such absence was without cause or j ustification, and
was without Plaintiff’s consent.
That commencing on or about , and continuing for a period of more
than one (1) year immediately prior to commencement of this action, the Defendant refused
to have sexual relations with the Plaintiff despite Plaintiff’s repeated requests to resume
such relations. Defendant does not suffer from any disability which would prevent her
/ him from engaging in such sexual relations with Plaintiff. The refusal to engage in
sexual relations was without good cause or justification and occurred at the marital
residence located at .
(UD-10 Rev. 3/1/16 )
That commencing on or about , and continuing for a period of more than one
(1) year immediately prior to commencement of this action, the Defendant willfully and without
cause or justification abandoned the Plaintiff, who had been a faithful and dutiful spouse, by
depriving Plaintiff of access to the marital residence located at .
This deprivation was without the consent of the Plaintiff and continued for a period of greater than
one year.
Confinement to Prison (DRL §170(3)): 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 is/wasconfined in
prison on the
Name of correctional facility
______day of ___________,____, and remained confined until the
Month Year
______day of_____________,____; OR remains confined to this date.
Month Year
Adultery (DRL §170(4)): That on the___ day of___________,____, at ______________________________
Month Year Lo cation
the Defendant voluntarily committed of an act of sexual or deviate sexual intercourse
with a person other than the Plaintiff after the marriage of Plaintiff and Defendant.
Living Separate and Apart Pursuant to a Separation Decree or Judgm ent of Separation
(DRL §170(5)):
(a) That the Court, County, (Country or
State) rendered a decree or judgment of separation on ,
under Index Number ; and
(b) that the parties have lived separate and apart for a period of one year or longer after the granting of such decree; and
(c) that the Plaintiff has substantially complied with all the terms and conditions of
such decree or judgment.
Living Separate and Apart Pursuant to a Separation Agreement (DRL §170(6)): (a) That the Plaintiff and Defendant entered into a written agreement of separation,
which they subscribed and acknowledged on , in the form
required to entitle a deed to be recorded; and
(b) that the agreement / memorandum of said agreement was filed
in the Office of the Clerk of the County of , wherein Plaintiff
/ Defendant resided; and
(c) that the parties have lived separate and apart for a period of one year or longer after the execution of said agreement; and
(d) that the Plaintiff has substantially complied with all terms and conditions of such
agreement.
Irretrievable Breakdown in Relationship for at Least Six Months (DRL §170(7)): That the relationship between Plaintiff and Defendant has broken
down irretrievably for a period of at least six months as stated in the Plaintiff’s Affidavit
or a sworn statement of Defendant.
(UD-10 Rev. 3/1/16 )
17 NINTH:A sworn statement pursuant to DRL §253 that Plaintiff has taken all
steps within his or her power to remove all barriers to Defendant’s
remarriage following the divorce was served on the Defendant.
A sworn statement as to the removal of barriers to remarriage is not
required because the parties were married in a civil ceremony.
A sworn statement as to the removal of barriers to remarriage is not
required because Defendant waived the need for the statement in hisor her affidavit.
18 TENTH
1) If the action was commenced on or after 1/25/16, the Court has informed the unrepresented
party or parties of the maintenance guideline obligation pursuant to DRL § 236(B)(6) enacted by Laws of
2015, ch.269; S 5658/A 7636-b] (the “Maintenance Guidelines Law”) .
2) Check the box ( A, B, C, or D ) below, whichever applies, and then fill in the
information required for that box. Only one box may be selected. If you select Box A), Box B) or Box C)
you must fill in all of the applicable information for that box and check all the applicable boxes. Then go
on to Paragraph ELEVENTH. If you select Box D), fill in the information requested in Items 1 and 2.
Leave Item 3 blank for the court to fill in, and go on to Paragraph ELEVENTH.
=============================================================== A) Written Agreement/Stipulation
The parties have entered into a Written Agreement/Stipulation pursuant to DRL 236(B)(3)
dated________________,
wherein the parties agreed that will receive maintenance in the sum
Plaintiff
Defendant
of $ per week
bi-weekly \
Semi-monthly
monthly
for such period of time as set forth in the parties’ agreement.
The terms of the agreement, as to maintenance, were fair and reasonable at the time of the making
of the agreement, and are not unconscionable at the time of the signing of the judgment, as it relates
to General Obligations Law § 5-311.
Said agreement was validly executed and complies with the requirements of subdivision 3 of
Domestic Relations Law 236(B)(3).
OR
===============================================================
(UD-10 Rev. 3/1/16 )
B) No maintenance was awarded because :
i) Neither party seeks maintenance OR
ii) the Guideline Award of Maintenance under the Maintenance Guidelines Law,
if applicable, was zero; OR
iii) The Court has denied the request for maintenance
(Skip the rest of Paragraph TENTH and Go on to Paragraph ELEVENTH) OR
=============================================================== C) Court Determination Where the Action for Divorce was Commenced Before January 25, 2016
The court has determined that will pay maintenance to in the
Plaintiff
Defendant
Plaintiff
Defendant
sum of $_____________ , f or a period of _______________;
per week
bi-weekly
per month
semi- monthly
commencing on ___________, and expiring on _______________. In making such award,
the court has considered the factors contained in DRL § 236(B)(6)(a) as it existed before January 25, 2016,
which are incorporated herein by reference. The court has set forth the reasons for its decision in a writing. =============================================================== D) Court Determination Where the Action for Divorce was Commenced on or after January 25, 2016
1. Fill in the the following information:
(i)- The adjusted gross income of the Plaintiff is $________ and the adjusted gross income of the Defenda nt is
_______________ per year (copy your answers from Form UD-8(1) Annual Income Worksheet Lines 1A and 1B)
(ii) The date of your marriage__________; The date your divorce action was commenced____________;
The number of years you were married to the date your divorce action was commenced : _______________
(iii)The range that maintenance would be payable according to the Advisory Schedule for Duration of Award
in Appendix E _______________ (copy your answers from Line 4a of Maintenance Guidelines Worksheet
(form UD-8(2)).
2. Check which boxes below apply: Child Support will not be paid for children of the marriage; OR Child Support will be paid for
children of the marriage ( Note: see page 7 of the Instructions for the definition of “children of the
Marriage.” Maintenance Payor is the custodial parent; OR Maintenance Payee is the custodial parent ( copy your
answers from Lines 2A and 2B of the Maintenance Guidelines Worksheet .
(UD-10 Rev. 3/1/16 )
3. Based on the foregoing, the court has determined that:
(i) Plaintiff Defendant
is the Maintenance Payor (“Maintenance Payor”) under the “Maintenance Guidelines Law” pursuant to DRL §
236(B)(6) who will pay maintenance to Plaintiff Defendant (The “Maintenance Payee”) in the sum of
$_____________ per week bi-weekly
per month semi- monthly (the “Award”) for a period of_______________; commencing on
___________, and expi ring on _______________.
(ii) The guideline amount of maintenance that would be payable under the Maintenance Guidelines on income
of Maintenance Payor up to $178,000 is $______________per year (from Paragraph 3B of Maintenance
Guidelines Worksheet). The Award includes an annual award of $__________ on income of Maintenance
Payor up to $178,000 per year. In computing said Award, the court applied the Maintenance Guidelines Law;
OR adjusted the guideline award of maintenance due under t he Maintenance Guidelines Law because it is
unjust and inappropriate based on one or more of the factors in DRL 236B(6)(e)(1), as follows, including the
effect of a barrier to remarriage on said factors where appropri ate:
_
(iii) If Income of Maintenance Payor exceeds $178,000 per year:
The Award includes an award of maintenance on $______________ of Maintenance Payor’s income in
excess of $178,000 per year based on one or more of the factors in DRL 236B(6)(e)(1), as follows, including
the effect of a barrier to remarriage on said factors where appropri ate:
OR
The Award did not include any maintenance on income of Maintenance Payor in excess of $178,000 per year
based on one or more of the factors in DRL 236B(6)(e)(1), as follows, including the effect of a barrier to
remarriage on said factors where appropri ate:
(UD-10 Rev. 3/1/16 )
(iv) Since the Maintenance Payor has defaulted, and/or the court was provided with insufficient evidence, the
award of maintenance was based on t he needs of the Maintenance Payee or the standard of living of the parties
prior to the marriage, whichever is greater.
(v) The court determined that the Award should be paid until _______________. In determining how long the
Award should be paid, the court considered the factors in DRL § 236(B)(6)(e)(1), and based its decision on one
or more of said factors as stated below, including the effect of a barrier to remarriage on said factors where
appropriate, ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
In determining how long the Award should be paid, the court also considered did not consider the
Advisory Schedule in DRL § 236(B)(6)(f)(1) pursuant to which the award would have been paid for
_______years.
In determining how long the Award should last, the court considered anticipated retirement assets, benefits, and retirement eligibility age of both parties OR
anticipated retirement assets, benefits, and retirement eligibility age of both parties was not ascertainable;
19 ELEVENTH: The minor children of the marriage now reside with Plaintiff
OR Defendant OR third party, namely . The Plaintiff
OR Defendant is entitled to visitation away from the custodial residence. The
Plaintiff OR Defendant OR Third Party, namely is entitled to
custody. OR No award of custody due to the minor child(ren) of the marriage not residing in
New York State. OR Other custody arrangement (specify)
__________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________
Allegations of domestic violence and/or child abuse were or were not made in this case; Where
such allegations were made, the Court has found that they were supported by a preponderance of the
evidence, and has set forth on the record or in writing how such findings, facts and circumstances were
factored into the custody or visitation direction or has found that they were not supported by a
preponderance of the evidence.
20 TWELFTH: Equitable Distribution and ancillary issues shall be in accordance with the
settlement agreement OR pursuant to the decision of the court OR Equitable
Distribution is not an issue.
(UD-10 Rev. 3/1/16 )
21 THIRTEENTH: There is/are no unemancipated child(ren) of the marriage. OR
The award of child support is based upon the following:
(A) The unemancipated children of the marriage entitled to receive support are:
Name Date of Birth
___________________________________ _________________
___________________________________ _________________
___________________________________ _________________ ___________________________________ _________________
___________________________________ _________________
(B) (1) By order of ____________ Court, County, Index/Docket No.
__________ dated ____________ the Plaintiff/Defendant was directed to pay the
sum of __________ per __________ for child support. Said Order shall continue. OR
(2) The adjusted gross income of the Plaintiff who is the custodial OR non-
custodial parent is __________ per year , and the adjusted gross income of the
Defendant who is the custodial OR non-custodial parent is
_______________ per year, and the combined parental annual income is
__________________. The gross incomes of the parties has been adjusted to deduct
maintenance paid to, and to add maintenance received by, a party spouse. The
applicable child support percentage is 17/25/29/31/35 %. The combined basic child
support obligation attributable to both parents is _____________ per year on combined
income up to $143,000 as adjusted for low income if applicable and
per year on income over $143,000. The Plaintiff’s pro rata share of the combined
parental income is % and the Defendant’s pro rata share of the combined
parental income is %. The non-custodial parent’s pro rata share of the child
support obligation on combined income up to $143,000 is per year or
per week bi-weekly semi-monthly per month . The non-custodial
parent’s pro rata share of the child support obligation on combined income over
$143,000 is per year or per week bi-weekly semi-
monthly per month . The non-custodial parent’s pro rata share of future health care
expenses not covered by insurance is %. The non-custodial parent’s pro rata share
of reasonable child care expenses is $________ per year or per week
bi-weekly semi-monthly per month or % . The non-custodial parent’s share
(UD-10 Rev. 3/1/16 )
of educational or extraordinary expenses for the children if any is $_______ per year
or %.
The cost of Health Insurance premiums for the children is $_________per year or
$ per week bi-weekly semi-monthly per month . The party who
maintains the health insurance for the children is the non-custodial parent
custodial parent .
CHECK a) or b) below :
a) The custodial parent’s pro rata share of health insurance premiums for the children
is $_________ per year or $ per week bi-weekly semi-monthly per
month which will be deducted from the child support obligation if the non-custodial
parent provides the health insurance for the children; OR
b) The non-custodial parent’s pro rata share of health insurance premiums for the
children is $______ per year or $ per week bi-weekly semi-monthly
per month . which is to be added to the basic child support obligation if the custodial
parent provides the health insurance for the children. OR
(3) The parties entered into a stipulation/agreement on __________________wherein the
Plaintiff OR Defendant agrees to pay ___________ per week OR
bi-weekly OR per month child support directly OR through the
Support Collection Unit to Plaintiff OR Defendant OR Third Party,
namely . The parties agree to waive OR apply
the Child Support Standards Act to combined income over $143,000. The parties have
agreed that health care expenses not covered by insurance shall be paid by Plaintiff
OR Defendant in the amount of % of the uncovered expenses. The parties
have agreed that reasonable child care expenses shall be paid by Plaintiff OR
Defendant to Plaintiff OR Defendant in the amount of $
per week OR bi-weekly OR semi-monthly OR per month OR
% of said child care expenses. The parties have agreed that educational and
extraordinary expenses and shall be paid by Plaintiff OR Defendant to
Plaintiff OR Defendant in the amount of $ per week OR
bi-weekly OR semi-monthly OR per month OR % of said expenses.
Said agreement reciting in compliance with DRL §2401-b(h): The parties have been
advised of the Child Support Standards Act. The basic child support obligation
presumptively results in the correct amount of child support. The unrepresented party,
if any, has received a copy of the Child Support Standards Chart promulgated by
Commissioner of Social Services pursuant to Social Services Law Section 111-I. The
presumptive amount of child support attributable to the non-custodial parent is
per week OR bi-weekly OR semi-monthly OR per month .
The amount of child support agreed to conforms with the non-custodial parent’s
basic child support obligation OR deviates from the non-custodial parent’s basic
child support obligation for the following reasons:
(UD-10 Rev. 3/1/16 )
__________________________ ______________________________________________________
________________________________________________________ ________________________
____________________________________ ____________________________________________
_________________________________________________________ ________________________
If the amount of child support agreed to be paid deviates from the non-custodial parent’s
basic child support obligation, the court finds said amount to be just and appropriate for the
following reasons :
___________________________________________________________________________
___________________________________________________________________________
______________________________________________________________________________________________________________________________________________________
22 FOURTEENTH: The Plaintiff’s address is ,
and social security number is . The Defendant’s address is
, and social security number is .
23 There are no unemancipated children of the marriage. OR
There are no health plans available to the parties through their employment. OR
The parties are covered by the following group health plans through their employment:
Plaintiff Defendant
Group Health Plan: G r o u p H e a l t h P l a n :
Address: Addres s :
Identification Number: Id e n t i f i c a t i o n N u m b e r :
Plan Administrator: P l an Adm i nis t r a t o r :
Type of Coverage: Type of Coverage: The parties have agreed or stipulated OR the court has determined that the
Plaintiff OR Defendant shall be the legally responsible relative and that the unemancipated
child(ren) shall be enrolled in his / her group health plan as specified above until the age of 21 years
OR until the child(ren) is / are sooner emancipated.
24 FIFTEENTH: The Court entered the following order(s) under Index
No(s). / Docket No(s).:
Not Applicable
(UD-10 Rev. 3/1/16 )
25 SIXTEENTH: Plaintiff OR Defendant may resume use of the prior surname:
___________________________________________.
26 SEVENTEENTH: Compliance with DRL § 255 (1) and (2) has been satisfied as follows:
A) The parties entered into a Stipulation of Settlement/Agreement dated _______________________
AND:
1. the stipulation of settlement complies with the requirements of DRL § 255 (2).
or
2. the parties entered into an addendum to the stipulation of settlement/agreement which
complies with the requirements of DRL § 255 (2). B) There is no stipulation of settlement/agreement
================================================ ===================
1. each party has been provided notice as required by DRL § 255(1)
or
2. the plaintiff has been notified pursuant to DRL § 255(1). Notice to the defendant
cannot be effectuated due to the defendant’s whereabouts being unknown. Since the cost of
publication would present an undue burden, notice to the defendant is hereby dispensed with.
EIGHTEENTH: Where applicable, registry checks were completed pursuant to DRL §240
1 (a-1) .
27 NINETEENTH :
The Judgment of Divorce incorporates all ancillary issues, including the payment of counsel and
experts' fees and expenses, which issues: were settled by written settlement/separation agreement
were settled by oral settlement/ stipulation on the record
were determined by the Court
were determined by Family Court order (custody and visitation or child support and/or spousal
support issues only) are not to be incorporated into the Judgment of Divorce, in that neither party to the divorce has
contested any such issues based on the Affidavit of Plaintiff (which Defendant has not contested).
(UD-10 Rev.3/1/16)
28 TWENTIETH: The Court or the Support Collection Unit (where a party is currently receiving child support
services or an application has been made for such services) shall issue an income deduction order or an
income execution simultaneously herewith unless either of the following boxes is checked; an agreement providing for an alternative arrangement has been reached between the parties
or for the following reason(s) which the court finds to constitute good cause pursuant to
DRL 240(2) (b):
[specify]:_____________________________ ____________________________________________
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________
CONCLUSIONS OF LAW
FIRST: Residency as required by DRL § 230 has been satisfied.
SECOND: The requirements of DRL § 255 have been satisfied.
THIRD: The requirements of DRL § 240 1 (a) including the Records Checking Requirements in
DRL § 240 1 (a-1) have been satisfied.
FOURTH : The requirements of DRL § 240 (1-b) have been satisfied.
FIFTH: The requirements of DRL § 236(B)(2)(b) have been satisfied.
SIXTH: The requirements of DRL § 236(B)(6) have been satisfied.
SEVENTH : If DRL §170 subd. (7) is the ground alleged, then all economic issues of equitable
distribution of marital property, the payment or waiver of spousal support, the payment of child
support, the payment of counsel and experts' fees and expenses as well as the custody and visitation
with the minor children of the marriage have been resolved by the parties or determined by the court
and incorporated into the judgment of divorce.
29 EIGHTH: Plaintiff OR Defendant is entitled to a judgment of divorce on the
ground of DRL §170 subd._____ and granting the incidental relief awarded.
30 Dated: J.S.C./Referee
(UD-10 Rev.3/1/16)