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Supreme Court of The State of New York County of
Supreme Court of The State of New York County of
Supreme Court of The State of New York County of
1 COUNTY OF
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2
3 Plaintiff, Index No.:
-against-
AFFIDAVIT OF SERVICE
4 Defendant.
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5 STATE OF }
ss:
COUNTY OF }
7 1. I am not a party to the action, am over 18 years of age and reside at:
________________________________________________________________________
9 4. I knew the person so served to be the person described in the summons as the Defendant.
My knowledge of the Defendant and how I acquired it is as follows: (select one)
10 6a. At the time I served the Defendant, I asked him/her if he/she was in the military service of this
state, any other state, or this nation, and the Defendant responded in the negative.
6b. The Defendant stated that he/she is in the following military service .
11 ______________________________
Server’s Signature
NOTARY PUBLIC