Affidavit of Service of Summons with Endorsed Complaint (Other than Personal Delivery)

The person who is served this affidavit has to find out an affidavit of service. The affidavit must have a full description of the person to be served.

Extracted Text for Proper Search

CIVIL COURT OF THE CITY OF NEW YORK

COUNTY OF 
Index No.

Part AFFIDAVIT OF SERVICE
OF SUMMONS WITH
ENDORSED COMPLAINT 
(Other than Personal Delivery)

Plaintiff(s),

against

Defendant(s).

State of New York, County of 
ss:

, being duly sworn, deposes and says:

Name of Server

I am over 18 years of age and not a party to this action.
At 
at

AM/PM, on

Address

Time 
Date
in the County of 
, City of New York, I served the attached
SUMMONS WITH ENDORSED COMPLAINT in this matter on 
by:

Name of Defendant as shown above

a) delivering the said SUMMONS to: 
I

who was substituted for the defendant. 
Name of person served

Description of Individual Substituted: 
Sex: 
Color of Skin: Color of Hair:

Approximate Age: Approximate Weight: Approximate Height:
b) affixing the summons to a conspicuous part of the door of 
Address

Previous attempts were made on

A copy of the summons and complaint was mailed to the defendant in an envelope marked

personal and confidential on

Signature of Deponent

day of

Sworn to before me this
Notary Public

CIV-GP-18A-i(5/04) 
20
FREE CIVIL COURT FORM
No fee may be charged to fill in this form.
Form can be found at: http://www.nycourts.gov/courts/nyc/civil/forms.shtml.
FREE CIVIL COURT FORM
No fee may be charged to fill in this form.
Form can be found at: http://www.nycourts.gov/courts/nyc/civil/forms.shtml. FREE CIVIL COURT FORM
No fee may be charged to fill in this form.
Form can be found at: http://www.nycourts.gov/courts/nyc/civil/forms.shtml.