Notice Of Appeal - Affidavit Of Service By Mail Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Notice Of Appeal - Affidavit Of Service By Mail Form. This is a New York form and can be use in Appellate Division Appellate Courts.
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Tags: Notice Of Appeal - Affidavit Of Service By Mail, New York Appellate Courts, Appellate Division
January 2011
STATE OF NEW YORK
FAMILY COURT
COUNTY OF
)
)
) NOTICE OF APPEAL
)
)
) #
) (Insert Family Court Docket Number)
)
)
MATTER OF
(INSERT TITLE OF ACTION ABOVE)
PLEASE TAKE NOTICE, that
hereby appeals to the
Supreme Court, Appellate Division, Fourth Department, from an Order of the
County Family Court (Hon.
, J.), entered in the
County Family Court Clerk's Office on
, 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)
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January 2011
SUPREME COURT OF THE STATE OF NEW YORK
APPELLATE DIVISION, FOURTH DEPARTMENT
)
)
)
)
)
)
)
)
)
MATTER OF
(INSERT TITLE OF ACTION ABOVE)
STATE OF NEW YORK)
COUNTY OF
AFFIDAVIT OF
SERVICE BY MAIL
OF NOTICE OF APPEAL
#
(Insert Family Court Docket Number)
) 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:
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