Free Affidavit of Service of Subpoena for Records - New York

CIVIL COURT OF THE CITY OF NEW YORK County of Part

Index No.: AFFIDAVIT OF SERVICE OF SUBPOENA FOR RECORDS

Claimant(s)/Plaintiff(s)/Petitioner(s)
-against-

Defendant(s)/Respondent(s) State of New York, County of and says:
(Deponent)

ss: , being duly sworn, deposes

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 on
(County)

, City of New York, I served the within Subpoena for Records in this matter known to me to be the Witness

named herein by: 1. delivering and leaving with him/her personally a true copy thereof; Gender: Approximate Age: 2. and paying him/her the sum of $
(Amount of Fee)

Description of Individual Served in Person Color of Skin: Color of Hair: Approximate Weight: Approximate Height:

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. Sworn to before me this
Signature of Notary Public

day of

20
Signature of Deponent

General Instructions Anyone NOT A PARTY to the action, who is over the age of may serve the Subpoena. 1. Find the person to be served 2. Give the person a copy of the subpoena and the witness fees. 3. Fill out an affidavit of service for each person served. 4. The person on whose behalf the subpoena was served should retain this Affidavits of Service for further procedures if the person subpoenaed fails to comply with the Subpoena.

CIV-GP-70-i(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.