Affidavit Of Substituted Or Conspicuous Place Service
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1STATE OF NEW YORK
CITY/DISTRICT/TOWN/VILLAGE COURT
(1)
COUNTY OF
(2)
(4)
Index/Docket No.
(3)
Petitioner(s)/Landlord(s)
AFFIDAVIT OF SUBSTITUTED OR
-against-
CONSPICUOUS PLACE SERVICE
(5)
Respondent(s)/Tenant(s)
State of New York County of (6)
(7)
, being duly sworn, deposes and says that (s)he served the (8)
in the above entitled action in the following m anner, stated herein at the
following place and tim e: By personally delivering to and leaving a true copy for (9)
with (10)
, a person of suitable age and discretion,
on the (11)
day of
,20
, at
am /pm at
(12)
the
dwelling place,
usual place of abode,
place of business within the State of New York Deponent further states that
(s)he describes the person actually served as follows:
(13) Sex
, Color of Skin
, Hair Color
, Age
, W eight
,
Height
,
Other identifying features
AND
by m ailing a true copy to the respondent at (14)
(his)(her) last known residence by both first class and certified m ail on the: (15)
of
,
20
.
OR
by affixing a true copy thereof to respondent’s door or by placing a copy of the papers under the entrance
door at (16)
the
dwelling place,
usual place of abode,
place of business within the State of New York on
the: (17)
day of
, 20
at
am/pm.
AND
by mailing a true copy of the same to the respondent at (18)
(his/her) last known residence by both first class and certified m ail on the:(19)
day of
, 20
.
Deponent previously attem pted to serve the respondent on the (20)
day of
, 20
at
am /pm ; on the
day of
,20
at
am /pm ; and on the
day of
20
at
am /pm .
(21)
(22)
Sworn to before me this
day
(Signature)
of
, 20
(Print or Type Name
Notary
)
Public
LT-H-ASC 9-07
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