Affidavit of Service

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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

1. Full Name: [Your Name]

2. Address: Buffalo, NY 14201

3. Phone Number: 222 555 7777

4. Email Address: [Your Email]

5. Relationship to the Case: Not a party to the case

III. Case Information

1. Court: Kings County Supreme Court

2. Case Number: 2060-CV-1234567

3. Plaintiff: John Doe

4. Defendant: Jane Smith

5. Document(s) Served: Summons, Complaint

6. Date of Service: September 18, 2060

7. Time of Service: 10:15 AM

IV. Method of Service

I personally served the above-referenced documents on the defendant/respondent Jane Smith by:

• Personal Service: Delivering a copy directly to the individual.

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:

• Date: September 18, 2060

• Time: 10:15 AM

• Manner of Delivery: Personal

• Signature of Recipient (if applicable): _____________________

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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