FORM 5
AFFIDAVIT OF SERVICE BY MAIL
STATE OF NEW YORK: | |
:ss. | |
COUNTY OF _______: |
__________________ being duly sworn, deposes and says that he/she is over the age of eighteen years and is not a party in this proceeding; that on the _____________ day of ________ 20___, deponent served the within ____________ upon ___________ in this action, at _______________, the address designated by ______________ for that purpose by depositing a true copy of the same by mail, enclosed in a post-paid properly addressed wrapper, in __________ a post office ___________official depository under the exclusive care and custody of the United States Post Office Department.
_________________________
Signature
Subscribed and sworn to
before me this ____ day of
_________________ 20 ____
______________________________
(Signature of notary public)