SMALL CLA IMS Order t o Show Cause or Moti on AFFIDAVIT OF SERVICE BY M AIL DISTRICT COURT, COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF SERVICE Plaintiff -aga inst- Index No: Return Date: Defendant I, being over the age of 18, and not a party to this Print your na me action, on , Insert date that the Order to Show Cause was mailed by you by Certified Mail, Return Receipt Requested mailed a copy of the attached ORDER TO SHOW CA USE MOTION by Certified Mail, St rike out the inappropriate docume nt name Return Receipt Requested, to: Plaintiff or Plaintiffs Attorney: Street Address: AND Name: Street Address: For any additional party that also has to be served with the Order or Motion, or the Suffolk County Sheriff who is served to stay the enforcement of the judgment or warrant . Your Signatu re Sworn to before me on this day of , 20 Day Month Year Notary/Clerk of Court Certified Mailing Receipts are Attached SMALL CLA IMS Order t o Show Cause or Moti on Affidavit of Se rvice by MAIL American LegalNet, Inc.DC-149M (05/ 03) www.USCourtForms.com