Instructions For Service Of An Information Subpoena Page 2

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CIVIL COURT OF THE CITY OF NEW YORK
County of ___________________
Index Number _______________
________________________________________
Affidavit of Service
of an
Claimant/Plaintiff,
Information Subpoena
-against-
____________________________
Judgment Debtor’s Name
____________________________
Address
Defendant.
____________________________
City , State, Zip
________________________________________
State of New York, County of _______________ ss.:
.
_____________________________________, being duly sworn, deposes and says:
Name of Deponent
I am over the age of 18 and not a party to this action. At _______, on _______________,
Time
Date
I served a copy of the Information Subpoena and a list of questions on
______________________________________________________________________________
by mailing the papers to the witness in an envelope addressed to him/her at
______________________________________________________________________________
by Certified Mail Return Receipt Requested.
_____________________________
Signature of Server
Sworn to before me
this ___ day of ______________, 20 ___
______________________________
Signature of Notary
CIV-SC-63-i Affidavit (Revised December 2005)

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