STATE OF NEW YORK
CITY/DISTRICT/TOWN/VILLAGE COURT
(1)______________________________________
COUNTY OF
(2) ____________________________________________________
(4)
Index/Docket No.
(3)
Petitioner(s)/Landlord(s)
AFFIDAVIT OF SERVICE OF:
-against-
(1) ORDER TO SHOW CAUSE
(2) AFFIDAVIT IN SUPPORT OF ORDER
TO SHOW CAUSE
(5)
Respondent(s)/Tenant(s)
State of New York, County of (6)
:
Address (7) :
____________________________Apt.
(8)
, being duly sworn, deposes and says:
I am over the age of eighteen and not a party to this action. On the (9)
day of
, 20
I served a copy of the Order to Show Cause and Affidavit in this matter on:
Known to me to be the Petitioner(s) by: (10)
Delivering a true copy to him/her/them at the following address:
Delivering a true copy to his/her/their attorney(s) or managing agent(s) at the following address:
The person served is described as follows: (11)
Sex
, Color of Skin
, Hair Color
,Approximate: Age
, Weight
, Height
. Other identifying features____________________________________________
Mailing a copy, properly sealed and enclosed in a post-paid wrapper by Certified Mail, Return Receipt
Requested, in a Post Office of the United State Postal Service within the State of New York, addressed to the petitioner
(or his/her registered managing agent) at the address registered with the Department of Housing Preservation and
Development.
AND ALSO SERVED ON THEM
By: Enforcement Officer (12)
by:
Delivering a copy to (13)
,a person in the Marshal’s Office.
The person served is described as follows: (14) Sex
, Color of Skin
,
Hair Color
, Approximate: Age
, Weight
, Height
.
Other identifying features:
.
Mailing a copy, properly sealed and enclosed in a post-paid wrapper by Certified Mail, Return Receipt
Requested, in a Post office of the United States Postal Service within the State of New York, addressed to:
(15) Marshal
(16) Sworn to me before this
(17)
day of
, 20
Signature of Person Serving Papers
____________________________
Notary Public
LT-T-ASO 9-07