Affidavit Of Service By Mail Form (Page 2 of 3) in pdf

Affidavit Of Service By Mail Form Page 2

(10/08) FORM 5A

DO NOT USE THIS FORM

SAMPLE FOR INSTRUCTIONS ONLY

AFFIDAVIT OF SERVICE BY MAIL

THIS FORM IS TO BE FILLED OUT BY THE PERSON WHO

MAILS THE PAPERS TO YOUR OPPONENT OR YOUR

OPPONENT’S ATTORNEY IF THEY ARE REPRESENTED.

IT MUST BE SWORN TO BEFORE A NOTARY PUBLIC.

STATE OF NEW YORK, ______COUNTY WHERE SWORN TO_____ s.s.:

_____NAME OF PERSON WHO SERVES PAPERS_______, being duly sworn,

deposes and says, that deponent is NOT a party to the action, is over 18 years of

age and resides at _______________________________

____ADDRESS OF PERSON WHO SERVES PAPERS__________.

That on the _DATE PAPERS___ day of _ARE SERVED___, 2____

deponent served the within ____Appellant’s Brief _____ upon

opponent(s) _______NAME OF OPPONENT(S)__________________

at _______ADDRESS OFOPPONENT(S)_______________________

________________________________________________________

(or if the opponent[s] is [are] represented by attorney[s])

upon __NAME OF ATTORNEY(S)_______________ attorney(s) for opponent(s)

at _____ADDRESS OF ATTORNEY(S)_______________

___________________________________________________________

the address designated by said opponent(s) or said attorney(s) for that purpose by

depositing a true copy of same enclosed in a postpaid properly addressed wrapper, in --

a post office -- official depository under the exclusive care and custody of the United

States Post Office Department within the State of New York.

_________________________

(SIGNATURE)

(To be completed by Notary Public at the

time affidavit is signed)

Sworn to before me this

____ day of________________ , 2____

Affidavit Of Service By Mail Form Page 2