AFFIDAVIT OF SERVICE STATE OF NEW YORK COUNTY OF __________ ) ) The undersigned being duly sworn, deposes and says: Deponent is not a party to the action, is over 18 years of age (name of person mailing Notice of Appeal) and resides at (address of person mailing/delivering Notice of Appeal) That on , deponent served the within Notice of Appeal on (date of mailing/personal service) located at (address of other party or (name of other party or attorney for other party) attorney for other party) Select one: by depositing a true copy of the same enclosed m a postpaid properly addressed envelope m a post office or official depository under the exclusive care and custody of the United States Postal Service. by personally delivering the same. Signature of person mailing Notice of Appeal Printed Name Sworn to before me this day of Notary Public AFTER THE AFFIDAVIT OF SERVICE BY MAIL HAS BEEN SIGNED AND NOTARIZED, THE ORIGINAL AND ONE (1) COPY OF THE NOTICE OF APPEAL AND AFFIDAVIT(S) OF SERVICE MUST BE FILED WITH THE CLERK OF THE CITY COURT. American LegalNet, Inc. www.USCourtForms.com