Acknowledgement of Service by Mail

Statement of Service by Mail and

Acknowledgment of Receipt by Mail of

Summons and Complaint or Summons and Notice

or Notice of Petition and Petition

1. STATEMENT OF SERVICE BY MAIL

   To: [Name and address of person or entity to be served]

   The enclosed [summons and complaint/summons with notice/notice of petition and petition] are served pursuant to section 312-a of the Civil Practice Law and Rules.

   To avoid being charged with the expense of service upon you, you must sign, date and complete the acknowledgement part of this form and mail or deliver one copy of the completed form to the sender within 30 days from the date you receive it. You should keep a copy for your records or for your attorney. If you wish to consult an attorney, you should do so as soon as possible before the 30...