If Form A is not used, questions 1, 2, 15, 16, 17, 18, 19 and 20 of Form A should be added to Form B.
All questions must be answered unless the court otherwise orders or unless a claim of privilege or protective order is made in accordance with R. 4:17-1(b)(3).
(Caption)
1. Was the claimant the sole owner of the motor vehicle involved in the alleged accident?2. State the name and address of the person, firm or corporation, from whom the claimant purchased the motor vehicle and the date of purchase.3. Was the motor vehicle new or used at the time of purchase?4. State make, model and year of motor vehicle.5. State amount paid by claimant for the motor vehicle.6. State whether the motor vehicle has been repaired since the accident.7. If so, give name and address of person, firm, or corporation making the repairs.8. If so, state specifically the part or parts of the motor vehicle alleged to have been damaged in the accident and furnish a copy of the repair bill.9. State date upon which claimant authorized the repair of the motor vehicle.10. State date on which repairs were completed.11. State the market value of this motor vehicle immediately before the accident.12. State the market value of the motor vehicle in its damaged condition immediately after the accident.13. State the market value of motor vehicle in its repaired condition.14. Was the motor vehicle used in connection with claimant's business and, if so, state whether claimant was obliged to hire another motor vehicle for use in connection with that business, giving the name and address of person, firm or corporation from whom claimant hired the motor vehicle, the dates during which it was hired and the amount paid for its hiring.15. If no repairs have been made, but an estimate of repairs has been obtained, attach a copy of the estimate to the answers to these Interrogatories, stating further the name and address of the person, firm or corporation who made the estimate.16. Has the claimant sold or otherwise disposed of the motor vehicle?17. If so, give the name and address of the person, firm or corporation to whom the motor vehicle was transferred, the date of the transfer, and the amount of consideration paid to the claimant therefor.18. If it is alleged that the claimant incurred any other expenses or losses as a result of the alleged damage to the motor vehicle, set forth these additional alleged losses in detail, giving an itemized statement.19. State the names and addresses of all persons who have knowledge of any relevant facts relating to the case.20. State the names and addresses of any and all proposed expert witnesses and annex true copies of all written reports provided to you by any such proposed expert witnesses.CERTIFICATION
I hereby certify that the foregoing answers to interrogatories are true. I am aware that if any of the foregoing statements made by me are willfully false, I am subject to punishment.
I hereby certify that the copies of the reports annexed hereto provided by proposed expert witnesses are exact copies of the entire report or reports provided by them; that the existence of other reports of said experts are unknown to me, and if such become later known or available, I shall serve them promptly on the propounding party.
N.j. R. Appendices form B
Note: Amended July 7, 1971 to be effective 9/13/1971; amended July 13, 1994 to be effective 9/1/1994; amended June 28, 1996 to be effective 9/1/1996; new introductory paragraph added July 5, 2000 to be effective 9/5/2000; certification amended July 28, 2004 to be effective 9/1/2004.