Free Affidavit of Service of Summons with Endorsed Complaint - New York


File Size: 18.8 kB
Pages: 1
File Format: PDF
State: New York
Category: Court Forms - State
Word Count: 210 Words, 1,204 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.nycourts.gov/courts/nyc/civil/forms/affserviceendorsedother.pdf

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Preview Affidavit of Service of Summons with Endorsed Complaint
CIVIL COURT OF THE CITY OF NEW YORK COUNTY OF Part

Index No. AFFIDAVIT OF SERVICE OF SUMMONS WITH ENDORSED COMPLAINT (Other than Personal Delivery)

Plaintiff(s), against Defendant(s). State of New York, County of
Name of Server

ss: , being duly sworn, deposes and says:

I am over 18 years of age and not a party to this action. At
Time

AM/PM, on
Date

at
Address

in the County of

, City of New York, I served the attached by:
Name of Defendant as shown above

SUMMONS WITH ENDORSED COMPLAINT in this matter on a) delivering the said SUMMONS to: who was substituted for the defendant.

I

Name of person served

Description of Individual Substituted: Sex: Color of Skin: Approximate Age: Approximate Weight: b) affixing the summons to a conspicuous part of the door of

Color of Hair: Approximate Height:

Address

Previous attempts were made on A copy of the summons and complaint was mailed to the defendant in an envelope marked personal and confidential on

Signature of Deponent

Sworn to before me this

day of

20

Notary Public
CIV-GP-18A-i(5/04) FREE CIVIL COURT FORM No fee may be charged to fill in this form. Form can be found at: http://www.nycourts.gov/courts/nyc/civil/forms.shtml.