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      FORM 3


      AFFIDAVIT OF PERSONAL SERVICE

      STATE OF NEW YORK:
      :ss.
      COUNTY OF _______:

       

      __________________ being duly sworn, deposes and says that he/she is over the age of eighteen years and is not a party in this proceeding; that on the _____________ day of ________ 20___, at No. ______ Street, in the town of ______________, county of _____________, State of New York, he/she served the annexed _____________ on ______________________ by delivering to and leaving with said ______________________ at said time and place a true copy thereof.

      Deponent further says he/she knew the person so served to be the said __________________ who is _______________ in said district and who is duly authorized to accept service.

       

      _________________________
      Signature

      Subscribed and sworn to

      before me this ____ day of

      _________________ 20 ____

       

      ______________________________
      (Signature of notary public)

       

      NOTE: Where appropriate, include the following above the signature line:

      Unsuccessful Attempts to Serve Respondent

      Date                  Time                   Place

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