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 ________________________________ss: ____________________________________________________, being duly sworn, deposes and says: (Name of person who served the papers) I am over 18 years of age and not a party to this action. At __________ AM/PM, on ______________ (Time) (Date) at___________________________________________________________________________________ ____ (Address) in the County of _______________________, City of New York, I served the within Subpoena for Records in this matter on ___________________________________________________________ known to me to be the Witness by: 1. delivering and leaving with him/her personally a true copy thereof; Description of Individual Served in Person Color of Skin:_____________ Color of Hair:_________ Approximate Height:______ Gender:_____________ Approximate Age:_____________ Approximate Weight:_______ 2. and paying him/her the sum of $______________________ as fees for traveling to and from the place (Amount paid) where s/he was required by the Subpoena to attend, and for one day's attendance. Sworn to before me this ______ day of ___________, 20___ _________________________________________________ Signature of Notary Public ____________________________ Signature of Server 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 (the witness) 2. Give the person a copy of the subpoena and the witness fees. 3. Serve a copy of the subpoena on every other party who has appeared 4. Fill out an Affidavit of Service for each person served, including the witness 5. Give all the affidavits of service to the person on whose behalf the subpoena was served for further proceedings in case the witness does not comply with this subpoena. FREE CIVIL COURT FORM No fee may be charged to fill in this form CIV-GP-70 (Reverse) (Revised 7/09) American LegalNet, Inc. www.FormsWorkFlow.com