Color of skin [describe]
Color of hair [describe]
if any [describe]
other identifying features,
I asked the person to whom I spoke whether the defendant was
military
in the military of the United States or New York State in any
Service
capacity and was told that he/she was not. Defendant did not
wear a military uniform. I state upon information and belief
that the defendant is not in the military service of the
United States or New York State. The basis for my belief is
the conversation(s) and observation(s) described above.
Signature
Print your name
Sworn to before me on this
day of
20
,
Notary Public