Civil Court of the City of New York County of Part Claimant(s)/Plaintiff(s)/Petitioner(s) -againstDefendant(s)/Respondent(s) State of New York, County of
tDeponent)
Index Number: AFFIDAVIT OF SERVICE OF SUBPOENA TO TESTIFY
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
(Couqv)
, City of New York, I served the within Subpoena to known to
(Name of Person Served)
Testify in this matter on
me to be the Witness named herein by delivering and leaving with him/her personally a true copy thereof, and paying him/her the sum of $
(Amount of Fee)
as fees for traveling to and from the
place where s/he was required by the said Subpoena to attend, and for one day's attendance: Description of Individual Served in Person Gender: Approximate Age: Color of Skin: Approximate Weight: Color of Hair: Approximate Height:
Sworn to before me this
day of
20 Signature of Deponent
Signature of Notary Public
General Instructions Anyone NOT A PARTY to the action who is over the age of 18 may serve the Subpoena. 1. Find the person to be served. 2. Give that person a copy of the Subpoena. 3. Fill out the above Affidavit of Service and have it notarized. 4. Retain this Affidavit of Service for further procedures if the person subpoenaed fails to comply with the Subpoena. CIV-GP-71-i(Reverse)(Revised 4/04)
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.