Notice Of Appeal - Affidavit Of Service By Mail

January 2011 STATE OF NEW YORK FAMILY COURT COUNTY OF ) ) ) NOTICE OF APPEAL ) ) )# ) (Insert Family Court Docket Number) ) ) hereby appeals to the MATTER OF (INSERT TITLE OF ACTION ABOVE) PLEASE TAKE NOTICE, that Supreme Court, Appellate Division, Fourth Department, from an Order of the County Family Court (Hon. County Family Court Clerk's Office on , J.), entered in the , 20 and from each and every part thereof (and from each and every intermediate Order therein entered). DATED: , 20 ____ (Name and address of moving party/attorney) TO: County Family Court Clerk Names and addresses of opposing parties/attorneys, and Attorney for the Child, if any (use additional sheet if needed) American LegalNet, Inc. www.FormsWorkFlow.com January 2011 SUPREME COURT OF THE STATE OF NEW YORK APPELLATE DIVISION, FOURTH DEPARTMENT ) ) ) ) ) ) ) ) ) MATTER OF AFFIDAVIT OF SERVICE BY MAIL OF NOTICE OF APPEAL # (Insert Family Court Docket Number) (INSERT TITLE OF ACTION ABOVE) STATE OF NEW YORK) COUNTY OF ) ss.: , being duly sworn, deposes and says that (s)he is not a party to this action, is over 18 years of age, and resides at . That on the day of , 20 , your deponent served the within Notice of Appeal by depositing a true copy thereof enclosed in a post-paid wrapper in an official depository under the exclusive care and custody of the U.S. Postal Service within New York State, addressed to each of the following parties and/or their attorneys at the last known address set forth after each name: (PRINT NAME BELOW SIGNATURE) Sworn to before me this day of , 20 NOTARY PUBLIC/COMMISSIONER OF DEEDS My commission expires: American LegalNet, Inc. www.FormsWorkFlow.com