HomeMy WebLinkAboutRoss, Daniel C Constitutional Oath
SUFFOLK COUNTY )
) SS:
TOWN OF SOUTHOLD )
I, Daniel C. Ross, do solemnly swear that I will support the Constitution of the United States of
America,the Constitution of the State'of New York, and the Laws, Rules and Regulations of the
Town of Southold, and that I will faithfully discharge the duties of the office of Town Justice for
the Town of Southold, effective January 1, 2024 through December 31, 2027 according to the best
of my ability. I
X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Sworn before e t is day Richard D.Noncarrow
Notary Public,State of New York
Notary No.01 N06224106
Qualified in Suffolk County
of l v 20 . S commission Expires June 21,20_4
ELIZABETH A. NEVILLE,MMC " Town Hall,53095 Main Road
TOWN CLERKS P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Fax(631)765-6145
MARRIAGE OFFICER w 1a Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER y www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
January 15, 2020
Honorable Judith A. Pascale
Suffolk County Clerk
310 Center Drive
Riverhead, New York 11901
Dear Ms. Pascale,
In accordance with the return of the Oath of Office of Southold Town Justice Daniel C. Ross together
with your instructions to add the Notary Public Stamp with Expiration Date, I am returning this Oath
with the Notary Public Expiration Date for filing in your office.
Very truly yours,
C �Q.
y 10 L'�L
Elizab th A. Neville
Southold Town Clerk
EAN/
cc:Town Justice Court
Rules Regarding Oaths of Office&Bonds Cont.„. 33
OATH OF OFFICE
STATE OF NEW YORK ss.
COUNTY OF. S u f fo I k ._ ..-
I,Hon. Daniel C. ROSS -,, do solemnly swear(or affirm)that I will support the Constitution
of the United States and the Constitution of the State of New York,and that I will faithfully discharge the duties of the office of
Town .ustice of Sot.ttholc'I Tow n according to the best of my ability.
(Acting Village Justice,Village or Town Justice) (Specify Torun Village and name of municipality)
(Signature of the Justice)
STATE OF NEW YORK as. m
Co OFm..-_ S u f fo I k
Further,pursuant to Town.Law§31�llage Law.§3-301,I swear or affirm,under penalty of perjury,that i htive not hen con"uvictaad q� 'i
felony pursuant to the laws of this State, or in Federal Court or in ars thcr State for a crime or offense that avduld i onstatslate a felo t'-.
under the laws of the State ofNew York
[Notary for both signatures] (Signature of the JustK'-e)-
Subscribed and sworn to before me
this day of &L ��_20
BONNIE) DOROSKI
. NT ���ir�7Gi953?S, SUffolk��OU[I
tY
(Authorized SignatureE � es.luiy 7„20
)
PLEASE COMPLETE.
JUSTICE'S TERM BEGINS 1 1 1 / 2 0 2 0 TERM ENDS 12 l3_l 202
3
Replacing Justice __ __Brian I I t l g h e s Appointed or -X+lected X
(If applicable)
FILING REQUIREMENTS
Town and Village Justices are required by Article XIII,§1 of the New York State Constitution to take and subscribe the Oath of
Office set forth below.
The completed Oath then must be filed in three places[Uniform Justice Court Act§1041:
1.The office of the County Clerk(the original)
2.The office of the clerk of the municipality(see also Town Law§25 and Village Law§3-312),and
3.The Office of the Court Administration(see also Public dfficers Law§10),187 Wolf Road,Suite 103,Albany,NY 12205
(Fax to:5t43$i518) 37/9 SU8 J'18
In addition,§104 of the Uniform Justice Court Act requires Town and Village Justices to file a bond conditioned for the faithful
performance.of their duties with their County Clerks.Ilowever,is a Town or Village Justice is covered by a blanket undertaking
procured by a town or village for its officers,the filing,requirement for the justice is satisfied if the town or village has file the
undertaking with its respeetive Town or Village Clerk.
Failure to file the Oath of Office or the oi�icial undertaking within 30 days after the commencement of the term of office
may result in the office being declared vacant.[Public Officers Law§30(1)(11)1.
Spring 2org-The Magistrate
COUNTY OF SUFFOLK
, auk*� y
.JU1 ITH A. PASCALF—
COUNTYCLERK
W.S U,FFOiL KC°OlJ N T Y N Y.G LD V,
CIVIL COURT ACTIONS INDEX P
631-852-2000 Ext.852
DATE
YOUR PAPERS CANNOT BE PROCESSED AS SUBMITTED. PLEASE COMPLY WITH THE ITEM(S)
CHECKED AND ATTACH THIS NOTE WHEN RETURNING YOUR PAPERS TO THE COURT
ACTIONS DEPARTMENT.
APPLICATION FOR INDEX NUMBER IS MISSING OR INCOMPLETE.
INDEX APPLICATION 1S NOT LEGIBLE.
MISSING REQUIRED FEE OF$ �,-...,....FOR.
... DOCUMENT(S)CANNOT BE FILED/FOUND DUE TO YOUR FAILURE TO PROVIDE CORRECT
INDEX NUMBER.
NOT A SUFFOLK COUNTY COURT ACTION.
COPIES MAY BE OBTAINED WITH A PAYMENT OF THE FOLLOWING:
A. $0.65 PER PAGE FOR NON-CERTIFIED COPIES,MINIMUM OF$1.30.
B. $1.25 PER PAGE FOR O'ERTIFIED COPIES WITH fit MINIMUM OF$5.00.
C. $0.65 PER PAGE FOR CERTIFYING A PREVIOUSLY PREPARED AND
SUBMITTED COPY WITH A MINIMUM OF$5.20.
FEES MUST BE PAID BY CASH,CHECK OR MONEY ORDER PAYABLE TO THE"SUFFOLK
COUNTY CLERK"WITH ADDRESS AND PHONE NUMBER ON THE CHECK OR MONEY
ORDER.
CHECK OR MONEY ORDER WAS NOT SIGNED.
CHECK OR MONEY ORDER WAS NOT ENCLOSED.
THE FEE FOR A SEARCH IS$5.,00 FOR EACH TWO-YEARPERIOD. PLEASE PROVIDE US WITH
_ THE APPROXIMATE YEAR YOUR ACTION WAS STARTED.
T A SELF-ADDRESSED,STAMPED ENVELOPE MUST BE INCLUDED WITH ALL FUTURE
CORRESPONDENCE.
.................
ADVISE OF FULL NAMES OF BOTH PLAINTIFF AND DEFENDANT.
WHEN APPLYING FOR A THIRD-PARTY INDEX NUMBER,YOU MUST PROVIDE US WITH
THE CORRECT INDEX NUMBER AND TITLE OF THE MAIN ACTION,
TO OBTAIN A COPY OF YOURDIVORCE,PLEASE SEND A NOTARIZED REQUEST. COPIES
AND/OR ACCESS TO A MATRIMONIAL FILE CAN BE MADE BY THE PARTIES OR THE
ATTORNEY(S)OF RECORD. A'I"TORNEYS MUST BE OF RECORD OR LISTED ON THE FIRM OF
RECORD'S LETTERHEAD.WE CANNOT FURNISH COPIES TO A LAWYER SERVICE,COURIER
OR PARALEGAL PURSUANT TO DOMESTIC RELATIONS,LAW§235(1).
IF A DIVORCE WAS OBTAINED OUTSIDE OF NEW YORK STATE OR THE UNITED STATES,
YOU MUST WRITE TO THE CAPITAL CITY OF THAT STATE OR COUNTRY.
IF YOUR DIVORCE WAS OBTAINED WITHIN NEW YORK STATE OUTSIDE OF SUFFOLK
COUNTY,PLEASE WRITE TO THE NEW YORK STATE DEPARTMENT OF HEALTH,BUREAU
OF VITAL STATISTICS,TOWER BUILDING,ALBANY,NEW YORK 11237.
THIS IS AN E-FILED CASE AND AS SUCH,NO HARD COPY PAPERS WILL BE ACCEPTED
WITHOUT THE SERVICE AND FILING OF THE APPROPRIATE OPT-OUT FORM(S)OR
DECLINATION OF CONSENT,AS APPLICABLE,
THE DOCUMENT(S)MUST BEE TILED. ANY QUESTIONS,PLEASE CALL THE NEW YORK
STATE COURTS ELECTRONIC FILING RESOURCE CENTER AT(646)38/6-3033.
OTHER: N off- y fi!a M t t'@..,1a'4- 7,�I vc���t , r 0/1*1Se h.W- 1!/-Vllr7 5�a rnlJ
w:k-t7 -FMz�r exy�or-cc�r�,„ upW. +� c�ua-y
310 CENTER DRIVE RIVERHEAD,NEW YORK 11901-3392 P:(631)852-2000;FAX:(631)852-3016
Town Hall,53095 Main Road
ELIZABETH A. NEVILLE, MMC
TOWN CLERK w i"h, P.O.Box 1179
Am Southold,New York 11971
REGISTRAR.OF VITAL STATISTICS wa i,„r � Fax(631)765-6145
at u
MARRIAGE OFFICER 'min Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER f .,. www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
January 3, 2020
Honorable Judith A. Pascale
Suffolk County Clerk
310 Center Drive
Riverhead, New York 11901
Dear Ms. Pascale,
Transmitted herewith, please find the oaths of office of the following Town Official suitable for filing in
your office in accordance with the law:
Daniel C. Ross, Town Justice, Town of Southold
Very truly yours,
Elizab A. Neville
Southold Town Clerk
EAN/
Enclosures (2):Town Oath
Office of Court Administration Oath
Constitutional Oat
SUFFOLK COUNTY SS:
TOWN OF SOUTHOLD
I . .Daniel C. .Ross . . . . . . . . . do solemnly swear that I will support
the Constitution of the United States and the Constitution of the State of New York, and
that I will faithfully discharge the duties of the office of. Town .Justice of.Southp-ldl Town
effective-January. 1., 2020. through December 31 , 2023
according to the best of my ability.
Sworn before me this 18th. day
of. .Decernb b 2 k�
Deputy. Town. Clerk
Rules Regarding Oaths of Office&Bonds Cont.„. -- 33
OATH OF OFFICE
STATE OF NEW YORK ) ss.
COUNTY OF S u ffo I k „)
I,Hon. Daniel w I t ..... m,,-do solemnly swear(or affirm)that I will support the Constitution
of the United States and the Constitution of the State of New York,and that I will faithfully discharge the duties of the office of
Town Justice of Southold Town according to the best of my ability.
(Acting Pillage Justice,Village or Town Justice) (Specify Iowa► Village and name of municipality)
cz
t
(Signature of the Justice)
AFFIDAVIT/AFFIRMATION
STATE OF NEW YORK
COUNTY OF S u f fo I k
Further,pursuant to Town.Law§311V7Zlage Law§3-301,1 swear oraffirm,underpenalty ofperjury,jury,that i have not been convicted of a
felony pursuant to the laws of this State, or in Federal Court or in an r State far a crime or offense that would'constitute a felony
under the laws of the State of New York.
[Notary for both signatures] (Signature of the Justice)
Subscribed and sworn to before me
this „l __.day ofL 20
(Authorized Siguatu�e)
PLEASE"COMPLETE.
JUSTICE'S TERM BEGINS I f 1 2 ii 2 0 TERMENDS 12 PSP Cl'2 3
Replacing Justice Brian Hugh es Appointed or XE&ected X
(If applicable)
l:. CRE U7CREl�I
Town and Pillage Justices are required by Article XIIJ,§1 of the New York State Constitution to take and subscribe the Oath of
Office set forth below.
The completed Oath then must be filed in three places[Uniform Justice Court Act§1041:
1.The vince of the County Clerk(the original)
2.The office of the clerk of the municipality(see also Town Law§25 and Village Law§3-312),and
3.The Office of the Court Administration(see also Public Officers Law §10), 187 Wolf Road,'Suite 103,Albany,NY 12205
(Fax to:StAS&518) .5'/f `O8 V/�7
In addition,§104 of the Uniform Justice Court Act requires Town and Village Justices to file a bond conditioned for the faithful
performance of their duties with their County Clerks.however,is a'Town or Village Justice is covered by a blanket undertaking
procured by a town or village for its officers,the tiling requirement for the justice is satisfied if the town or village has filed the
undertaking with its respective Town or Village Clerk.
Failure to file the Oath of Office or the official undertaking within 30 days affer the commencement ofthe terms of office
may result in the office being declared.vgeant.[Public Officers Law§30(1)(h)].
Spring 2ozg-The Magistrate
01/03/2020 11:27 AM FAX 6317653145 SOUTHOLDJOWN—CLERK P.0001
............
Send Results
Sending is complete.
Job No. 0102
Address 15184383518
Name
Start Time 01/03 11:27 AN
Call Length 00'23
Sheets I
Result OK
I Regarding Oath;eroj-we&.Vod,C,,rm,..
STATE 01P NEW'YORK 33
COUNTYOF , SUffolk
Ofthe United$totes,andthe Cousdtdo solemnly swear(or atrirra)that"Wil'Uppre the coustitno..
the StAte of Nut'On Of' ew York,and that X"I"f2ithfuRY dfocharge the dtiffes of the offlice of
Town, julsticle
(Aftg VfflageTustice,valAge or ToWa ustc
ofSOuthold Town "Ording CO the b4st Of toy ability.
(Specify To . Vft9taUd0AU3QOfMI(Iidp2Hty)
x
(Sigaktune of tete juirtice)
AFF IDAVIT/AiFF,IRMATION
STAROPNEWYORK
) ss
MUM
a"0y0b9e and IIIIEnO 0,M,,,,idpUty)
"0'fc
31,
e
Pm"a
f4aronyp 1444 S th-f con skted of a
1 6 6, ictim or offetue that Wadleivffs,1111 af'I'ny
#Ilk
f9e ly
Ile
Notary for both sknotural
v M �'
Slffiscdbied And morn to bgforeae (Sigxtaturc of Lite justice)
d4y of
20
(Auothfo sltcaa,to
'PzB'4SE Cowurz
TEUM.BEGIlls 1 20
_ 2 79MENDSUI
9pplacing Jusdea-��B i-ia�nH u ci'he
Appointed_ or )WXtgoeted X
Rules Regarding Oaths of Ojyice&Bonds Cont... 33
OATH OF OFFICE
STATE OF NEW YORK ) ss.
COUNTY OF.. Suffolk }
I,Hon. Daniel C, Ross do solemnly swear(or affirm)that I will support the Constitution
of the United States and the Constitution of the State of New York,and that I will faithfully discharge the duties of the office of
Town Justice of Southold Town according,to the best of my ability.
(Acting Village Justice,Village or Town Justice) (Specify Tow1 .
illaage and name of municipality)
a
(Signature of the Justice)
AFFIDAVIT/AFFI ION
STATE OF NEW YORK ) ss.
COUNTY OF.. S u ffo I k
Further,pursuant to Town Law§311Vd1age Law§3-301,1'swear or affirm,under penalty of perjury,that i have not been convicted of a
felony pursuant to the laws of this State,'or in Federal Court or i ma ther State for a crime or offense that wbuld constitute a felony
under the laws of the State ofNew York
[Notary for both signatures] (Signature of the Justice)
Subscribed and sworn to before me
this ( rrll__
�Y� day of � 20
(Authorized
)
w
(Au Itorized Signatu to
PLEASE COAMLETE.
JUSTICE'S TERM BEGINS 1 f 1 1 2 0 2 0 TERM ENDS 12 /31_/ 2023
Replacing Justice Brian Hughes Appointed or )W)Elected_ X_
(1f applicable)
FIL G REQEMEMEM
Town and Village Justices are required by Article XIH,§1 of the New York State Constitution to take and subscribe the Oath of
Office set forth below.
The completed Oath then must be filed in three places[Uniform Justice Court Act§1041:
1.The office of the County Clerk(the original)
2.The office of the clerk of the municipality(see also Town Law§25 and Village Law§3-312),and
3.The Office of the Court Administration(see also Public Officers Law§10), 187 Wolf Road,Suite 103,Albany,NY 12205
(Fax to:5143-3518)
In addition,§104 of the Uniform Justice Court Act requires Town and Village Justices to file a bond conditioned for the faithful
performance of their duties with their County Clerks.However,is a Town or Village Justice is covered by a blanket undertaking
procured by a town or village for its officers,the filing requirement for the justice is satisfied if the town'or village has filed the
undertaking with its respective Town or Village Clerk.
Failure to file the Oa di ofOfl-ce or the ofllcial'.undertaking width,30,days after the commeacm,cut of the term of office
may result in the office being declawd vacant.[Public Offlem Law§300)(01.
Spring 2019-The Magistrate
01/03/2020 11:18 AM FAX 16317653145 SOUTHOLD-TOWN-CLERK P.0011
Send Results
Sending is complete.
Job No. 0101
Address 151,84383518
Name
Start Time 01/03 11:17 AM
Call Length 00'28
Sheets I
Result OK
TOWN JUSTICE,VILLAGE JUSTICE&ASSOCIATE VILLAGE JUSTICE
OUESTIONNA-19 ,
Towns and Villaps.must notify the NYSUrifflud Court Sy&tem's Office oriustice court Support whenever there is a change in judicial
office. Please complete this questionnaire within thirty(3 0)days after the Occ t ion or appointment of a Judi cial officer in your town or
village,and return it to the Office of Justice Court Support. Please type or print.
A. THE_COURT
1. Address- Soytf-iold Town Justice Court
53095 Main Road, P.0, Box 1179, Southold, New York 11971
2. County: ';uffolk
3. Number of authorized Justices-.
4. Number of Court'Clerks: Full time 5 _Part time
S. Court telephone number: _1i31 765-1852 _
16. Court facsimile number: fi3j_.7,fi5 X898 _
H. THE JUSTI
Name. Daniel —C R!25S A. Rome mailing address: 1450 Woodcliff Drive, Mattitq_cNew York 11952
B. Daytime(9 a.m.—S p.m.)telephone number: 631 298-1200
C. Occupation(s): Attorrte
D. Business Address:. k, New York 11952
E. Date of Birth: 11
P. New York Lawyer: Yes( X ) No
GL If Yes,dale admitted to Bar: 1_0 4 82 X ) 2"d
_L_L _Department: I"
H. Check one: Elrotud( X ) Appointed (
L Justice's salary:$ 75 400.00 -— per year
J. Date of election Or appointment: 111 /2020 Date term expires: 12131/2023
K. Number of year(s)as a Justice; _Log r_J4J_
v r.1— :F WnTo lowwr
TOWN JUSTICE,VILLAGE JUSTICE &ASSOCIATE VILLAGE JUSTICE
QUESTIONNAIRE
Towns and Villages must notify the NYS Unified Court System's Office of Justice Court Support whenever there is a change in judicial
office. Please complete this questionnaire within thirty(30) days after the election or appointment of a judicial officer in your town or
village,and return it to the Office of Justice Court Support. Please type�or print.
A. THE COURT
1. Address: Southold Town Justice Court
53095 Main Road, P.O. Box 1179, Southold, New York 11971
2. County: _SUffolk_
3. Number of authorized Justices: _..tj-1,r
J-1
4. Number of Court Clerks: Full time 5 Part time J
5. Court telephone number: 631 765-1852
6. Court facsimile number: 631 765-389&—
B. 'THE JUSTICE
Name: Daniel C. Ros5
A. Home mailing address: 1450 Woodcliff Drive, Mattituck, New York 11952
B. Daytime(9 a.m.-5 p.m.) telephone number: 631 298-1200
C. Occupation(s): Attorney
D. Business Address: .-31,,5 VVe5tp" plia V"e.................- P.O. Box 146, Mattituck, New York 11952
E. Date of Birth: ___1...1...L15/i 9 5 3
F. New York Lawyer: Yes( X ) No (
G. If Yes, date admitted to Bar: 1 10/4/8 2 Department: 1s` X ) 2 ind 31d 4"
H. Check one: Elected( X ) Appointed (
I. Justice's salary: S .-_, 7_540Q.00 per year
J. Date of election or appointment: .........—1L1/,20201 Date term expires: 12/31 /2023
K. Number of year(s)as a Justice: four--Bj.
L. To be completed only if Justice is NOT a lawyer:
EDUCATION:
High School: Ratchq_qqe-Med ford H.S. Year Graduated: 1972
..... .....
College: SUNY at Cortland Year Graduated: 1976
Other: Hofstra Law Year Graduated:
M. Name of Village or Town Clerk: Eliza[)_e_th ..... Date:
-AN_e vihe- ---LtZ-2-a2,0-
Please return to-
,Office of Justice Court Support
187 Wolf Road, Suite 1103,Albany,NY 12205
Fax: (S 18)X138-3518
Constitutional Oath
SUFFOLK COUNTY SS:
TOWN OF SOUTHOLD
I . Daniel C. .RQsa . . . . . . . . . do solemnly swear that I will support
the Constitution of the United States and the Constitution of the State of New York, and
that I will faithfully discharge the duties of the office of. Town. Juspirpe. of $out$ojd.Tgwn
.e#fgcti,Ze .J4ntjazY .1,, ZOZO .through pecejnber. 31,, 2023..
according to the best of my ability
Sworn before me this . 18th . day
of. December. *g2019
eputy. Town Clerk . . . . .
Rules Regarding Oaths of Office&Bonds Cont... 33
OATH OF OFFICE
STATE OF NEW YORK ) ss.
COUNTYOF Suffolk
I,Hon. Daniel C. ROSS do solemnly swear(or affirm)that I will support the Constitution
of the United States and the Constitution of the State of New York,and that I will faithfully discharge the duties of the office of
Town Justice of Southold Town according to the best of my ability.
(Acting Village Justice,Village or Town Justice) (Specify Tow Village and name of municipality)
X UZA� C�-�
(Signature of the Justice)
AFFIDAVIT/AFFIRMATION
STATE OF NEW YORK
COUNTY OF S u ffo I k 1
Further,pursuant to Town.Law§311V7llage Law§3-301,1 swear or affirm,under penalty of perjury,that i have not been convicted of a
felony pursuant to the laws of this State,or in Federal Court or in an r State for a crime or offense that would constitute a felony
under the laws of the State of New York I c
X
[Notary for both signatures] (Signature of the Justice)
Subscribed and sworn to before me
this day of 20 \c� _
(Authorized Signatu )
PLEASE COMPLETE:
JUSTICE'S TERM BEGINS 1 / 1 / 2 0 2 0 TERM ENDS 1_/ 31 / 2093
Replacing Justice Brian Hughes Appointed or (Elected X
(If applicable)
FILING_REQUIREMENTS
Town and Village Justices are required by Article XIII,§1 of the New York State Constitution to take and subscribe the Oath of
Office set forth below.
The completed Oath then must be filed in three places[Uniform Justice Court Act§1041:
1.The office of the County Clerk(the original)
2.The office of the clerk of the municipality(see also Town Law§25 and Village Law§3-312),and
3.The Office of the Court Administration(see also Public Officers Law§10), 187 Wolf Road,Suite 103,Albany,NY 12205
(Fax to:5143-3518)
In addition,§104 of the Uniform Justice Court Act requires Town and Village Justices to file a bond conditioned for the faithful
performance of their duties with their County Clerks.However,is a Town or Village Justice is covered by a blanket undertaking
procured by a town or village for its officers,the filing requirement for the justice is satisfied if the town or village has filed the
undertaking with its respe-etive Town or Village Clerk.
Failure to file the Oath of Office or the official undertaking within 30 days after the commencement of the term of off,ice
may result in the office being declared vacant.]Pabltc officers Law§30(1)(h)].
Spring 2019-The Magistrate
Rules Regarding Oaths of Office&Bonds Cont... 33
OATH OF OFFICE
STATE OF NEW YORK ) ss.
COUNTY OF Suffolk
I,Hon. Daniel C. ROSS do solemnly swear(or affirm)that I will support the Constitution
of the United States and the Constitution of the State of New York,and that I will faithfully discharge the duties of the office of
Town Justice of Southold Town according to the best of my ability.
(Acting Village Justice,Village or Town Justice) (Specify Tow Village and name of municipality)
Y-JJA, OC PZX4-LX
(Signature of the Justice)
AFFIDAVIT/AFFIRMATION
STATE OF NEW YORK ) ss.
COUNTY OF S u ffo I k )
Further,pursuant to Town.Law§31IVdlage Law§3-301,I swear or affirm,under penalty of perjury,that i have not been convicted of a
felony pursuan?to the laws of this State,or in Federal Court or ' Llhere for a crime or offense that wozild'constitute a felony
under the laws of the State of New York
X C ot�-�
[Notary for both signatures] (Signature of the Justice)
Subscribed and sworn to before me
this (�Y� day of 20 tL"l
(Au(horized Sfgnatu e
PLEASE COMPLETE.
JUSTICE'S TERM BEGINS 1 / 1 / 2 0 2 0 TERM ENDS 1_/3_/ 2 0 2 3
Replacing Justice Brian Hughes Appointed or til[)Elected Y_
(If applicable)
FILING REQUIREMENTS
Town and Village Justices are required by Article XIII,§1 of the New York State Constitution to take and subscribe the Oath of
Office set forth below.
The completed Oath then must be filed in three places[Uniform Justice Court Act§1041:
1.The office of the County Clerk(the original)
2.The office of the clerk of the municipality(see also Town Law§25 and Village Law§3-312),and
3.The Office of the Court Administration(see also Public Officers Law§10),187 Wolf Road,Suite 103,Albany,NY 12205
(Fax to:5143-3518)
In addition,§104 of the Uniform Justice Court Act requires Town and Village Justices to file a bond conditioned for the faithful
performance of their duties with their County Clerks.However,is a Town or Village Justice is covered by a blanket undertaking
procured by a town or village for its.officers,the filing requirement for the justice is satisfied if the town or village has filed the
undertaking with its respettive Town or Village Clerk.
Fallm a to file the Oath of Office or the official undertaking within 30 days after the commencement of the term of off,ice
may result in die office being declared vacant.[Public Officers Law§30(1)(h)l.
Spring 2019-The Magistrate