Form DC-149R "Affidavit of Personal Service" - Suffolk County, New York

What Is Form DC-149R?

This is a legal form that was released by the District Court - Suffolk County, New York - a government authority operating within New York. The form may be used strictly within Suffolk County. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2003;
  • The latest edition provided by the District Court - Suffolk County, New York;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DC-149R by clicking the link below or browse more documents and templates provided by the District Court - Suffolk County, New York.

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Download Form DC-149R "Affidavit of Personal Service" - Suffolk County, New York

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A
S
- P
S
- I
FFIDAVIT OF
ERVICE
ERSONAL
ERVICE
NDIV IDUAL
S
N
Y
}
TATE OF
EW
ORK
ss:
C
S
}
OUNTY OF
UFFOLK
I,
, being duly sworn, deposes and says:
P rin t y ou r n am e
I reside at:
,
Insert your complete address
and am over 18 years of age, and not a party to this action.
On the
day of
, 20
, at
o’clock in the
inse rt da te
inse rt mo nth
year
hour
, I served the within
F O R E N O O N
A F TE R N O O N
Strike out the inappropriate phrase
Insert the name of the documents served, i.e., the summons, complaint, order, etc.
Attach a copy of the document to this Affidavit of Service
upon
, known to me to be the defendant named therein
insert d efen dan t’s nam e he re
by delivering to and leaving with
personally, at
H IM
H E R
Strike out
insert the address where you served the defendant
Town of
, County of Suffolk, State of New York, a true copy thereof.
Insert Town where you served the defendant
Said individual had the following characteristics:
Sex:
color of skin:
color of hair:
approximate age:
approximate weight:
approximate height:
other distinguishing characteristics:
Sworn to before me on this
Yo ur Sig natu re
day of
, 20
Day
M on th
Year
RESET ALL FIELDS
No tary/Cle rk of C ourt
http://nycourts.gov/suffolkdistrict
A ff id a vi t o f S e rv ic e on D e fe n da n t b y P E R S O N AL S E R V IC E
DC-149R (05/03)
A
S
- P
S
- I
FFIDAVIT OF
ERVICE
ERSONAL
ERVICE
NDIV IDUAL
S
N
Y
}
TATE OF
EW
ORK
ss:
C
S
}
OUNTY OF
UFFOLK
I,
, being duly sworn, deposes and says:
P rin t y ou r n am e
I reside at:
,
Insert your complete address
and am over 18 years of age, and not a party to this action.
On the
day of
, 20
, at
o’clock in the
inse rt da te
inse rt mo nth
year
hour
, I served the within
F O R E N O O N
A F TE R N O O N
Strike out the inappropriate phrase
Insert the name of the documents served, i.e., the summons, complaint, order, etc.
Attach a copy of the document to this Affidavit of Service
upon
, known to me to be the defendant named therein
insert d efen dan t’s nam e he re
by delivering to and leaving with
personally, at
H IM
H E R
Strike out
insert the address where you served the defendant
Town of
, County of Suffolk, State of New York, a true copy thereof.
Insert Town where you served the defendant
Said individual had the following characteristics:
Sex:
color of skin:
color of hair:
approximate age:
approximate weight:
approximate height:
other distinguishing characteristics:
Sworn to before me on this
Yo ur Sig natu re
day of
, 20
Day
M on th
Year
RESET ALL FIELDS
No tary/Cle rk of C ourt
http://nycourts.gov/suffolkdistrict
A ff id a vi t o f S e rv ic e on D e fe n da n t b y P E R S O N AL S E R V IC E
DC-149R (05/03)