UCS-CCR3New YorkFillable

Affirmation of Facts by Original Creditor

New York Civil Courts · Civil Lawsuits

Copy of the court's form from nycourts.gov, taken October 21, 2026. See it on the court's site ↗

Affirmation by a servicer for an original creditor plaintiff in a consumer credit case setting out the facts of the debt from the plaintiff's business records.

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