Free Certificate of Service by Mail - New York

CERTIFICATE OF SERVICE BY MAIL State of New York : SS: County of :

I, served a copy of the following document(s):

, hereby certify that I am the plaintiff herein and

(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 certify that the foregoing is true and correct. , 200 . ,

DATED: Signature of Plaintiff

FORM I (2)