Affidavit of Service
STATE OF New York
COUNTY OF Kings
I. Introduction
I, [Your Name], being duly sworn, depose and say that I am over the age of 18 years and not a party to the action described below. I have personal knowledge of the facts set forth herein and, if called upon to testify, I would be competent to do so. This affidavit is made in accordance with the rules governing service of process within the jurisdiction of the State of New York.
II. Identity of the Affiant
Full Name: [Your Name]
Address: Buffalo, NY 14201
Phone Number: 222 555 7777
Email Address: [Your Email]
Relationship to the Case: Not a party to the case
III. Case Information
Court: Kings County Supreme Court
Case Number: 2060-CV-1234567
Plaintiff: John Doe
Defendant: Jane Smith
Document(s) Served: Summons, Complaint
Date of Service: September 18, 2060
Time of Service: 10:15 AM
IV. Method of Service
I personally served the above-referenced documents on the defendant/respondent Jane Smith by:
V. Location of Service
Service was made at the following address:
1. Address: New York, NY 10001
2. City: New York
3. State: New York
4. ZIP Code: 10001
VI. Description of the Person Served
I confirm that the individual I served was:
Name: Jane Smith
Age: Approximately 40 years old
Gender: Female
Physical Description: 5'6", approximately 140 lbs, blonde hair
VII. Proof of Delivery
The service was completed as follows:
VIII. Affiant's Declaration
I declare under penalty of perjury under the laws of the State of New York that the foregoing is true and correct to the best of my knowledge and belief.
IX. Notarization
Subscribed and sworn to before me, this 18th day of September, 2060, in the County of Kings, State of New York.
Notary Public
[Notary's Full Name]
Commission Expiration Date: ___________
X. Signature of Affiant
[Your Name]
Date: September 18, 2060
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