My home is not listed correctly on the court papers (check all that apply):
wrong apartment/house number
wrong or missing information about rent regulation or laws that cover me
OTHER
Petitioner accepted rent from me after the notice of termination date.
Petitioner accepted payment of back rent through the Emergency Rental Assistance Program
(ERAP) on ______________ and one year has not passed.
Petitioner started this case to retaliate against me for actions I took in the past year.
Petitioner has harassed me (please explain):
I serve in the military, or I am dependent on someone in the military.
Other defense/answer (please explain):
COUNTERCLAIMS
I request a judgment against the petitioner because:
Petitioner owes me $__________ for repairs or services I paid for.
Petitioner owes me $__________ for rent overcharges.
Petitioner owes me a rent reduction or refund for failing to provide services.
Petitioner should be fined for harassing me
NOTE: Only tenants in New York City – Bronx, Kings (Brooklyn), New York (Manhattan),
Queens, or Richmond (Staten Island) – can make this claim.
VERIFICATION
STATE OF NEW YORK
COUNTY OF _______________
______________________________, being duly sworn, states the following:
1. I am the tenant in this case.
2. I have read this form, and I know what it says.
3. The information above is true, accurate, and complete to the best of my knowledge and belief.
___________________________________
Tenant/Respondent Signature
Sworn to before me this ______
day of _______________, 20____.
___________________________________
Notary Public
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