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AFFIDAVIT OF (PERSONAL SERVICE) (MAIL SERVICE)
FAMILY COURT
STATE OF NEW YORK

COUNTY OF_________________                                                                            RETURN DATE:  _____________
                                                                                                                                   PART_______________________  
                                                                                                                                    DOCKET NO.________________

I.____________________________________________________being duly sworn, depose and say;
   (Name of Person Making Service)

1.        That I am at least 18 years of age and not a party to the above action, and reside at:

______________________________________________________________________________________________
      (Street)                                                (City)                                                        (County)

2.        On the ___day of______________________ 200_______,   at______________________________________
                                                                                         (specific time)
at  ________________________________in the City of ________________________________________, County of
_________________________, State of New York, I personally served a copy of
O        Order        O     Petition        O      Summons        O      Order to Show Cause
O        Objections to Support Magistrate Final Order            O   Notice of Motion/Affidavit in Support
O        Rebuttal to Objections to Support Magistrate Final Order
                                       
______________________________________________________________________________________________
3.        I personally served___________________________________________________copies of the said papers by
         delivering and leaving with _________________________________________________ at said time and place.

4.        I knew the person so served to be _____________________________________________________________
                                                                                                   (Name / to whom papers given)
a. O        the person name in said papers as the (respondent/petitioner in this action
b. O        I believe this person would give the papers to the Respondent/Petitioner.  (You must also mail a copy and complete # 6)

5.        DESCRIPTION OF PERSON SERVED:
sex:_____ color of skin:________hair:_______ approx. age:________ approx. ht:_____________________________
approx. weight: ___________________________________  other identifying features:_________________________
______________________________________________________________________________________________

6.        Depositing a true copy of said papers upon______________________________________________________
                                                                                       (Name of Person Served)
enclosed in a post-paid wrapper in the
O        Post Office        O        a Branch Post Office        O        a Post Office Box
regularly maintained by the United States government at ________________________________________________
County of _______________, State of New York, directed to _____________________________________________________________________________________________
                                                                 (Address papers mailed to)
O        the residence of said_______________________________________________________________________
                                                                 (Person papers mailed to)
OR
O        the address within the State designated by (him) (her) to receive communication by mail.
______________________________________________________________________________________________

Sworn to before me this
________day of_________________, 2020________                                                                               

 

                                                                                                                  _____________________________________
                                                                                                                             (Signature/Person Serving)
__________________________________________
(Notary Public)

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