State of New York Court of Claims ________________________________, ________________________________, Claimant(s) v. Affidavit of Service Claim No. ____________ ________________________________, ________________________________, Defendant(s) ___________________________________________ State of New York County of ______________ ) )ss: Assigned Judge: _____________________ _______________________________, being duly sworn, deposes and says: I am over the age of eighteen (18) years, and on _______________, 20___, I served a true copy of the attached _____________________________________ in the following manner: (For a Claim): by mailing it in a sealed envelope, certified mail, return receipt requested, with postage prepaid, in a post office or official depository of the United States Postal Service within the State of New York, addressed to the last known address of the addressee as follows: OR by delivering it to the following person(s) at the address(es) indicated below: (For a Notice of Motion and Supporting Papers): by mailing them in a sealed envelope, with postage prepaid, in a post office or official depository of the United States Postal Service within the State of New York, addressed to the last known address of the addressee as follows: _____________________________________________ (Signature) Sworn to before me this ____ day of _______________, 20___. __________________________ Notary Public 2002 © American LegalNet, Inc.