Affidavit Or Affirmation Of Service Page 3
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3AFFIDAVIT OF SERVICE
Revised 05/01 WDNY
(If you are having your signature notarized, use this form)
UNITED STATES DISTRICT COURT
WESTERN DISTRICT OF NEW YORK
,
Plaintiff(s),
AFFIDAVIT OF SERVICE
v.
________-CV-__________
,
Defendant(s).
STATE OF NEW YORK
)
COUNTY OF
) ss.:
I, (print your name)
, served a copy of the attached papers
(state the name of your papers)
upon all other parties in this case
by mailing
by hand-delivering
(check the method you used)
these documents to the following persons (list the names and addresses of the people you served)
on (date service was made)
(your signature)
Sworn to before me this __________
day of _______________, ________
Notary Public
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