Last updated: 10/16/2014
Affidavit Of Service Of Initiating Papers (Sample And Form)
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Description
Instructions: This affidavit cannot be used in divorce cases, but must otherwise be used for service of a Summons and Complaint, a Summons with Notice, a Notice of Petition and Verified Petition, an Order to Show Cause and Verified Petition, or a Subpoena. Print to fill in the spaces next to the instructions. SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF NEW YORK -----------------------------------------------------------------------------x __________________________________________________, [fill in name(s)] Plaintiff(s)/Petitioner(s), - against__________________________________________________, [fill in name(s)] Defendant(s)/Respondent(s). -----------------------------------------------------------------------------x STATE OF NEW YORK COUNTY OF ________________ ss: I, [name of person who served papers] __________________________________________________, being duly sw orn, depose and say: I am over 18 years of age and am not a party to this case. I reside at [your address] _______________________________________________________________ On ___________________, 20__, [date of service], at ______ AM/PM [time of day], I served the attached papers [identify papers served] _______________________________________________________ _____________________________________________________________________________________________ on the defendant/respondent in this case. The address of the place w here the papers w ere served is [location where papers served] __________________________________________________________________ I served the papers in the manner indicated below : [check box that applies]: 1) R Individual By delivering a true copy of each to the defendant/respondent personally. I knew the person served to be the person named in those papers because [How did you know defendant/respondent?] _______________________________________________ ________________________________ [Fill out description of defendant/respondent on page 2]. _______________________________________________________ [name of business], a domestic corporat ion, by delivering a true copy of each to [identify person served] ____________________________________________ [Fill out description of person on page 2], w ho is [identify his/her job title] __________________________ ______________________________________. I knew the corporation to be that listed in the papers served and I knew the title of the person named above and that he/she w as authorized to accept service. Index Number ________________________ AFFIDAVIT OF SERVICE OF INITIATING PAPERS 2) R Corporation ServeLegalPapers - 1/2014 American LegalNet, Inc. www.FormsWorkFlow.com 3) R Substituted Service By delivering a true copy of each to [identify person served] ___________________ _________________________________ [Fill out description of person below] a person of suitable age and discretion, at the actual place of business, dw elling house, or usual place of abode in the state, and mailing, as indicated below . I also enclosed a copy of the above papers in a postpaid, sealed envelope properly addressed t o def endant' s/respondent' s last know n residence or actual place of business, located at [address] ______________________________________________, and I deposited the envelope in a post office depository under the exclusive care and custody of the United States Postal Service w ithin New York State. The individual I served had the follow ing characteristics [Check one box in category]: Sex R Male R Female Height R Under 5' R 5' 0" - 5' 3" R 5' 4" - 5' 8" R 5' 9" - 6' 0" R Over 6' Weight R Under 100 lbs. R 100 - 130 lbs. R 131 - 160 lbs. R 161 - 200 lbs. R Over 200 lbs. Age R 21 - 34 years R 35 - 50 years R 51 - 61 years R Over 61 years Mailing (Use with 3) Description (Use with 1, 2, or 3) Color of skin [describe]: ___________________________________ Color of hair [describe]: ___________________________________ Other identifying features, if any [describe]: _______________________________________ R Military Service I asked the person to w hom I spoke w hether the defendant/respondent w as in the military of the United States or New York State in any capacity and w as told that he/she w as not. Defendant/respondent did not w ear a military uniform. I state upon information and belief that the defendant/respondent is not in the military service of the United States or New York Stat e. The basis for my belief is the conversation(s) and observation(s) described above. Sw orn to before me this _____ day of __________________, 20__ ________________________________________ [sign your name before a Notary] _____________________________ Notary Public ________________________________________ [print your name] 2 ServeLegalPapers - 1/2014 American LegalNet, Inc. www.FormsWorkFlow.com SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF NEW YORK -----------------------------------------------------------------------------x __________________________________________________, - against __________________________________________________, -----------------------------------------------------------------------------x STATE OF NEW YORK COUNTY OF ________________ ss: Index Number ________________________ AFFIDAVIT OF SERVICE OF INITIATING PAPERS I, __________________________________________________, being duly sworn, depose and say: I am over 18 years of age and am not a party to this case. I reside at _____________________________________________________________________ On ___________________, 20__, at _____ _M, I served the attached papers, ________________ ___________________________________________________________________________________, The address of the place where the papers were served is ___________ ___________________________________________________________________________________. I served the papers in the manner indicated below: 1) R Individual By delivering a true copy of each to the defendant/respondent personally. I knew the person served to be the person named in those papers because _ __________ __________________________________________________________________. 2) R Corporation ___________________________________________________________________, a domestic corporation, by delivering a true copy of each to ____________________ ___________________________________________, who is _____________________ ___________________________________________. I knew the corporation to be that listed in the papers served and I knew the title of the person named above and
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