Affidavit Of Service Of Summons With Endorsed Complaint (Other Than Personal Delivery)
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Affidavit Of Service Of Summons With Endorsed Complaint (Other Than Personal Delivery) Form. This is a New York form and can be use in New York Local County.
Tags: Affidavit Of Service Of Summons With Endorsed Complaint (Other Than Personal Delivery), CIV-GP-18A, New York Local County, New York
CIVIL COURT OF THE CITY OF NEW YORK
COUNTY OF
Part
Index No.
AFFIDAVIT OF SERVICE
OF SUMMONS WITH
ENDORSED COMPLAINT
(Other than Personal Delivery)
Plaintiff(s),
against
Defendant(s).
ss:
State of New York, County of
, being duly sworn, deposes and says:
Name of Server
I am over 18 years of age and not a party to this action.
At
AM/PM, on
Time
at
Address
Date
in the County of
, City of New York, I served the attached
SUMMONS WITH ENDORSED COMPLAINT in this matter on
by:
Name of Defendant as shown above
a) delivering the said SUMMONS to:
who was substituted for the defendant.
I
Name of person served
Description of Individual Substituted:
Sex:
Color of Skin:
Approximate Age:
Approximate Weight:
Color of Hair:
Approximate Height:
b) affixing the summons to a conspicuous part of the door of
Address
Previous attempts were made on
A copy of the summons and complaint was mailed to the defendant in an envelope marked
personal and confidential on
.
Signature of Deponent
Sworn to before me this
day of
20
Notary Public
CIV-GP- I 8A-i(5/04)
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