AFFIDAVIT OF SERVICE STATE OF NEW YORK COUNTY OF I, That on [date] , the undersigned, being duly sworn, depose and say: That I am not a party herein, am over 18 years of age and reside at , at [time] . [document name] , deponent served the within at [location] on [name of person served] by: 1. INDIVIDUAL (a) (b) Delivering a true copy thereof to person so served to be the person described in said document(s). personally. Deponent knew the Delivering a true copy to , a person of suitable age and discretion at the individual's actual place of business, dwelling place, or usual place of abode. Deponent also enclosed a copy of same in a postpaid, sealed wrapper properly addressed to the individual's last known business, dwelling place or place of abode at and deposited said wrapper in an official depository under the exclusive care and custody of the U.S. Postal Service. Affixing a true copy to the door of the individual's actual place of business, dwelling place, or usual place of abode at . Deponent was unable, with due diligence, to find the person named therein or a person of suitable age and discretion having called there: On at [date] [time] (c) On [date] at [time] On [date] at [time] Within 20 days of said delivery/affixing, deponent also enclosed a copy of same in a postpaid, sealed wrapper properly addressed to the individual's last known business, dwelling place or place of abode at and deposited said wrapper in an official depository under the exclusive care and custody of the U.S. Postal Service. 2. CORPORATION: Serving the above on [corporation] personally, whom deponent knew to be the said corporation by , an officer of said corporation or other agent leaving a true copy thereof with authorized to receive service for said corporation. DESCRIPTION: Deponent describes the individual served as follows: Sex: Male Female Hair: Approx. Age: Approx. Ht.: Other identifying features: Signature ______________________________________ Sworn to before me this Notary public day of , 20 . Skin: Approx. Wt.: License No. American LegalNet, Inc. www.FormsWorkFlow.com