Affidavit of Service on Individual

[Caption]

State of New York

ss.:

County of __________

__________ [Name], being duly sworn, deposes and says:

  1. That [he/she] is over 18 years of age and not a party to this action.

  2. That [he/she] served the annexed Summons [with Notice/and Complaint] on the defendant, __________ [Name], in the following manner:

    [Choose one of the following:]

    By personally delivering to and leaving with the defendant a true copy thereof on __________ [Date] at __________ [Time] at __________ [Address]. Deponent knew the person served to be the person described as the defendant.

    [Or]

    By personally...

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