Free Affidavit of Service of Summons with Endorsed Complaint (Personal Delivery) - New York


File Size: 16.3 kB
Pages: 1
File Format: PDF
State: New York
Category: Court Forms - State
Word Count: 196 Words, 1,135 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.nycourts.gov/courts/nyc/civil/forms/affserviceendorsedpersonal.pdf

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Preview Affidavit of Service of Summons with Endorsed Complaint (Personal Delivery)
CIVIL COURT OF THE CITY OF NEW YORK County of Part

Index No. AFFIDAVIT OF SERVICE OF SUMMONS WITH ENDORSED COMPLAINT (Personal Delivery)

Plaintiff(s) -against-

Defendant(s) State of New York, County of ss: , being duly sworn, deposes and says:
(Name of Server)

I am over 18 years of age and not a party to this action. At
(Time)

AM/PM, on
(Date) (Name of County)

at
(Address)

in the County of

, City of New York, I served the attached

SUMMONS WITH ENDORSED COMPLAINT in this matter on
(Name of Defendant as shown above)

by delivering the said SUMMONS to:
(Name of actual person with whom the SUMMONS was left)

the said defendant in person, or known to me to be the
(Title)

of the
(Corporation/Partnership)

Description of Individual Served in Person: Sex: Approximate Age: Color of Skin: Approximate Weight:

Color of Hair:
Approximate Height:

Sworn to before me this

day of

20
(Signature of Deponent)

(Notary Public or Court Employee and Title)

CIV-GP- 1 8-1 (Revised 5/04) FREE CIVIL COURT FORM No fee may be charged to fill in this form. Form can be found at: http://www.nycourts.gov/courts/nyc/civil/forms.shtml.