AFFIDAVIT OF SERVICE BY MAIL State of New York County of : SS: :
, being duly sworn, deposes and says: that I am the
plaintiff herein and served a copy of the following document(s): (Specify document(s) on at: (Name of person/Addressee) (Address to which document(s) were sent)
by mailing and depositing a true and correct copy of said document(s) in a mailbox located at: on the following date: , . ,
I declare under penalty of perjury that the foregoing is true and correct.
DATED: Signature of Plaintiff Sworn to before me this day of , _______ .
FORM I (1)