CIVIL COURT OF THE CITY OF NEW YORK County of Index No.: Part AFFIDAVIT OF SERVICE OF Claimant(s)/Plaintiff(s), ORDER TO SHOW CAUSE -against- AND AFFIDAVIT IN SUPPORT Defendant(s) State of New York, County of SS: , being duly sworn, deposes and says: (Name of Deponent) I am over 18 years of age and not a party to this action. AtAM/PM, on (Time) (Date) at (Address) in the County of , City of New York, I served the annexed ORDER TO SHOW CAUSE and AFFIDAVIT IN SUPPORT of the Order in this matter on: 1. (Name of Person Served) known to me to be the by: (Claimant/Plaintiff/Defendant) (a) Delivering a true copy to him/her at the above address. Description of Individual Served in Person: Sex: Color of Skin: Color of Hair: Approximate Age: Approximate Weight: Approximate Height: (b) Mailing a true copy, properly sealed and enclosed in a post-paid w rapper, by Certified Mail, Return Receipt Requested, in a Post Office of the United States Po stal Service within the State of New York addressed to the (Claimant/Plaintiff/Defendant) AND ALSO SERVED THEM ON 2. Marshal by: (a) Delivering a true copy to (Name of Person Served) a person in the Marshals office. Description of Individual Served in Person: Sex: Color of Skin: Color of Hair: Approximate Age: Approximate Weight: Approximate Height: (b) Mailing a true copy, properly sealed and enclosed in a post-paid w rapper, by Certified Mail, Return Receipt Requested, in a Post Office of the United States Po stal Service within the State of New York addressed to the above-named Marshal at: Sworn to before me this day of 20 (Notary Public or Court Employee and Title) (Signature of Deponent) CIV-GP-19(Revised, January, 2004)-i American LegalNet, Inc. www.USCourtForms.com