Affidavit of Service Form Where would you like the completed Affidavit of Service emailed to: State of Court: NEW YORKMICHIGAN Court Name: SUPREME COURTSURROGATE'S COURTCOUNTY COURTBUFFALO CITY COURTLACKAWANNA CITY COURTNIAGARA FALLS CITY COURTTOWN OF _________________ COURTVILLAGE OF _________________ COURTJUDICIAL CIRCUT - FAMILY DIVISION County of Court: ERIENIAGARAALLEGANYQUEENSGENESEE Parties: Party Served: Defendant is an: IndividualCorporation Index No. Servers Full Name: Name of Document(s) Served: Summons With NoticeSummons and ComplaintOrder to Show CausePetitionPetition for EvictionCitation (Surrogate's Court) Type of Service Completed: SelectPersonalSubstituteNail and MailCorporate PERSONAL SERVICE Date of Service: JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember12345678910111213141516171819202122232425262728293031201820192020 Time of Service: 010203040506070809101112:01020304050607080910111213141516171819202122232425262728293031313233343536373839404142434445464748495051525354555657585960AMPM Address where served: DESCRIPTION OF PERSON SERVED The discription of person served is: Sex MaleFemaleGender Neutral Race WhiteBlackAsian or Pacific IslanderAmerican Indian or Alaskan NativeUnknown Eye Color BlackBlueBrownGreyGreenHazelMaroon Hair Color BaldBlackBlondeBrownBlueGreyGreenOrangePurplePinkRedSandyWhiteUnknown Approx. Age Approx. Weight (Lbs.) Approx. Height (Ft.) 44-14-24-34-44-54-64-74-84-94-104-115-5-15-25-35-45-55-65-75-85-95-105-116-6-16-26-36-4 Other identifying SUBSTITUTE SERVICE Person of suitable age and discretion served: Date of Substitute Service: JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember12345678910111213141516171819202122232425262728293031201820192020 Time of Service: 010203040506070809101112:01020304050607080910111213141516171819202122232425262728293031313233343536373839404142434445464748495051525354555657585960AMPM Address where served: Which is the defendant(s)dwelling placeusual place of abodeplace of business A copy was also mailed to defendant(s) by First Class Mail in an Envelope Marked "PERSONAL AND CONFIDENTIAL" addressed to Defendant at: being hisherthere last known residence or business address. DESCRIPTION OF PERSON SERVED The discription of person served is: Sex MaleFemaleGender Neutral Race WhiteBlackAsian or Pacific IslanderAmerican Indian or Alaskan NativeUnknown Eye Color BlackBlueBrownGreyGreenHazelMaroon Hair Color BaldBlackBlondeBrownBlueGreyGreenOrangePurplePinkRedSandyWhiteUnknown Approx. Age Approx. Weight (Lbs.) Approx. Height (Ft.) 44-14-24-34-44-54-64-74-84-94-104-115-5-15-25-35-45-55-65-75-85-95-105-116-6-16-26-36-4 Other identifying NAIL AND MAIL Document affixed to defendant(s) door at: Which is the defendant(s): dwelling placeusual place of abodeplace of business Date of Affixing: JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember1234567891011121314151617181920212223242526272829303120192020 Time of Affixing: 010203040506070809101112:01020304050607080910111213141516171819202122232425262728293031313233343536373839404142434445464748495051525354555657585960AMPM A copy was also mailed to defendant(s) by First Class Mail in an Envelope Marked "PERSONAL AND CONFIDENTIAL" addressed to Defendant at: being hisherthere last known residence or business address. Deponent previously attempted to serve the defendant(s) with due diligence pursuant to CPLR Sec. 308(4) on: First Attempt: Date of Service First Attempt: JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember12345678910111213141516171819202122232425262728293031201820192020 Time of Service First Attempt: 010203040506070809101112:01020304050607080910111213141516171819202122232425262728293031313233343536373839404142434445464748495051525354555657585960AMPM Second Attempt:4> Date of Service Second Attempt: JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember 12345678910111213141516171819202122232425262728293031 201820192020 Time of Service Second Attempt: 010203040506070809101112:01020304050607080910111213141516171819202122232425262728293031313233343536373839404142434445464748495051525354555657585960 AMPM Third Attempt:4> Date of Service Third Attempt: JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember 12345678910111213141516171819202122232425262728293031 201820192020 Time of Service Third Attempt: 010203040506070809101112:01020304050607080910111213141516171819202122232425262728293031313233343536373839404142434445464748495051525354555657585960 AMPM CORPORATE SERVICE By personally delivering to and leaving a true copy thereof with Date of Service: JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember1234567891011121314151617181920212223242526272829303120192020 Time of Service: 010203040506070809101112:01020304050607080910111213141516171819202122232425262728293031313233343536373839404142434445464748495051525354555657585960AMPM Location of Service: The individual served was the: DESCRIPTION OF PERSON SERVED The discription of person served is: Sex MaleFemaleGender Neutral Race WhiteBlackAsian or Pacific IslanderAmerican Indian or Alaskan NativeUnknown Eye Color BlackBlueBrownGreyGreenHazelMaroon Hair Color BaldBlackBlondeBrownBlueGreyGreenOrangePurplePinkRedSandyWhiteUnknown Approx. Age Approx. Weight (Lbs.) Approx. Height (Ft.) 44-14-24-34-44-54-64-74-84-94-104-115-5-15-25-35-45-55-65-75-85-95-105-116-6-16-26-36-4 Other identifying To my best knowledge, information, and belief the said defendant at the time of service is notis engaged in military service for the United States. 10 - 3 = Δ Share this:TweetShare on TumblrRedditWhatsAppLike Loading...