NEW YORK AFFIDAVIT OF SERVICE
STATE OF NEW YORK,
COUNTY OF KINGS ss.:
__________________________________________________ , being duly sworn deposes and says:
I am not a party to this action; I am over (18) eighteen years of age;I reside in New York State.
On __________________at _______________________________ _________________________________________, I served the within
SUMMONS AND VERIFIED COMPLAINT on__________________________________________________________________________ at________________________________________________________________in the manner indicated below:
[__] SUITABLE AGE. By delivering a true copy of each to _________________________________, a person of suitable age and discretion.
Said premises are the recipient's [_] actual place of business [_] dwelling house (usual place of abode) within the state.
[__] MAIL COPY. Pursuant to CPRL-Section 3215(g)(3)(i), on __________________, deponent completed service by depositing a true copy of each document to the above address in a 1st Class postpaid properly addressed envelope not indicating that mailing was from an attorney or concerned legal action and marked " Personal and Confidential" in an official depository under the exclusive care and custody of the United States Post Office in the State of New York.
A description of the Defendant, or the person served on behalf of the Defendant is as follows:
Sex__________ Color of skin_________________Color of Hair__________________Age______________________________________
Height:__________________________Weight__________________Other features: __________________________________________
[__] MILITARY SERVICE. Your deponent asked the person spoken to whether defendant was in the active military service of the United States or New York State ; and received a negative reply. Upon information and belief I have ;being based on the conversations & observations above narrated, defendant is not in the military service.
[__] OTHER. Private house. No apartment number.
Sworn to before me on _________
PROCESS SERVER'S NAME
________________________________ LIC ____________
Notary Public, Qualified in ________
Commission Expires _____________.