Affidavit Of Service Subpoena Of Records
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1CIVIL COURT OF THE CITY OF NEW YORK
County of ________________________________
Index No.:________________________
Part
AFFIDAVIT OF SERVICE
OF
Claimant(s)/Plaintiff(s)/Petitioner(s)
SUBPOENA FOR RECORDS
-against-
Defendant(s)/Respondent(s)
State of New York, County of ________________________________ss:
____________________________________________________, being duly sworn, deposes and
says:
(Name of person who served the papers)
I am over 18 years of age and not a party to this action. At __________ AM/PM, on
______________
(Time)
(Date)
at___________________________________________________________________________________
____
(Address)
in the County of _______________________, City of New York, I served the within Subpoena for
Records in
this matter on ___________________________________________________________ known to me to
be
the Witness by: 1. delivering and leaving with him/her personally a true copy thereof;
Description of Individual Served in Person
Gender:_____________
Color of Skin:_____________
Color of Hair:_________
Approximate Age:_____________ Approximate Weight:_______
Approximate Height:______
2. and paying him/her the sum of $______________________ as fees for traveling to and from the place
(Amount paid)
where s/he was required by the Subpoena to attend, and for one day’s attendance.
Sworn to before me this ______ day of ___________, 20___
_________________________________________________
____________________________
Signature of Notary Public
Signature of Server
General Instructions
Anyone NOT A PARTY to the action, who is over the age of 18 may serve the Subpoena.
1. Find the person to be served (the witness)
2. Give the person a copy of the subpoena and the witness fees.
3. Serve a copy of the subpoena on every other party who has appeared
4. Fill out an Affidavit of Service for each person served, including the witness
5. Give all the affidavits of service to the person on whose behalf the subpoena was served for
further proceedings in case the witness does not comply with this subpoena.
FREE CIVIL COURT FORM
No fee may be charged to fill in this form
CIV-GP-70 (Reverse) (Revised 7/09)
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