Free Notice of Service of Summons and Complaint on the Secretary of State - New York

CIVIL COURT OF THE CITY OF NEW YORK County of Part Claimant(s)/Plaintiff(s) -against-

Index No.: NOTICE OF THE SERVICE OF SUMMONS AND COMPLAINT ON THE SECRETARY OF STATE OF THE STATE OF NEW YORK

Defendant(s)

To:
Enter Date of Service

On

, a copy of the Summons and

Complaint in the above referenced matter were sent to (served upon) the Secretary of State of the State of New York pursuant to § 253 of the New York State Vehicle and Traffic Law.

Dated

Signature

CIV-GP-73 (Revised 1104)-i
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.