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 ADM/DBN-8 - Affidavit of service of citation
STATE OF NEW YORK Note: File Proof of Service at least
SURROGATE'S COURT: COUNTY OF 3 days before return date. State
________X clearly date, time and place of
LETTERS OF ADMINISTRATION d.b.n. Service and name of person served
Estate of (Uniform Rule 207.7(c)).
a/k/a AFFIDAVIT OF SERVICE
OF CITATION (Adult)
Deceased.
________X File No. ____________
STATE OF NEW YORK: COUNTY OF ss.:
________ 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)
ADM/DBN-8 (7/98)
