New York Affidavit of Service
State of New York
County of ______________________
1. I, ____________________________, being duly sworn, depose and say:
2. I am over the age of 18 years and not a party to this action.
3. On the ______ day of _____________________, 20____, at approximately ______ o'clock in the AM/PM, I served the following documents:
- ____________________________
- ____________________________
- ____________________________
4. The documents were served on:
Name: ____________________________
Address: ____________________________
City, State, Zip: ____________________________
5. The method of service was:
- Personal delivery
- By mail
- By electronic means (if applicable)
6. The place of service was:
Address: ____________________________
7. I affirm that the recipient was:
- Present at the time of service
- Not present at the time of service
8. I am aware that this affidavit is a legal document. I understand that it must be completed accurately and truthfully. False statements may lead to legal consequences.
9. Sworn to before me this ______ day of _____________________, 20____.
_____________________________
Signature of Affiant
_____________________________
Notary Public
My Commission Expires: ______________________