AFFIDAVIT OF PERSONAL SERVICE
|STATE OF NEW YORK:|
|COUNTY OF _______:|
__________________ being duly sworn, deposes and says that he/she is over the age of eighteen years and is not a party in this proceeding; that on the _____________ day of ________ 20___, at No. ______ Street, in the town of ______________, county of _____________, State of New York, he/she served the annexed _____________ on ______________________ by delivering to and leaving with said ______________________ at said time and place a true copy thereof.
Deponent further says he/she knew the person so served to be the said __________________ who is _______________ in said district and who is duly authorized to accept service.
Subscribed and sworn to
before me this ____ day of
_________________ 20 ____
(Signature of notary public)
NOTE: Where appropriate, include the following above the signature line:
Unsuccessful Attempts to Serve Respondent
Date Time Place