New York Codes, Rules and Regulations
Title 22 - JUDICIARY
Subtitle D - Forms
Chapter VII - Surrogate's Court Forms
Subchapter A - Forms Authorized By Section 207.52
Surrogate's Forms
Form A-10 - Affidavit of service of citation

Universal Citation: 22 NY Comp Codes Rules and Regs ยง A-10
Current through Register Vol. 46, No. 39, September 25, 2024

STATE OF NEW YORK

SURROGATE'S COURT: COUNTY OF ________

Note: File Proof of Service at least 2 days before return date. State clearly date, time and place of service and name of person served (Uniform Rules 207.7(c))

________x

ADMINISTRATION PROCEEDING

Estate of ________ AFFIDAVIT OF SERVICE OF

CITATION (Adult)

a/k/a

________ Deceased. File No.________

________x

STATE OF NEW YORK)

) ss.:

COUNTY OF ________)

________ of ________, being duly sworn, says that I am over the age of eighteen years; that I made personal service of the citation herein dated ________, 19________, on each person named below, each of whom deponent knew to be the person mentioned and described in said citation, by delivering to and leaving with each of them personally a true copy of said citation, as follows:

On ________, description, viz: sex ________, color of skin ________, color of hair ________, approximate age ________, weight ________, height ________, at ________ o'clock ________.m. on the ________ day of ________, 19________, at ________.

On ________, description, viz: sex ________, color of skin ________, color of hair ________, approximate age ________, weight ________, height ________, at ________ o'clock ________.m. on the ________ day of ________, 19________, at ________.

On ________, description, viz: sex ________, color of skin ________, color of hair ________, approximate age ________, weight ________, height ________, at ________ o'clock ________.m. on the ________ day of ________, 19________, at ________.

That none of the aforesaid persons is in the Military Service as defined by the Act of Congress known as the "Soldiers' and Sailors' Civil Relief Act of 1940" and in the New York "Soldiers' and Sailors' Civil Relief Act."

________

Sworn to before me this

________ day of ________, 19________.

_________

Notary Public

Commission Expires: ________

(Affix Stamp or Seal)

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