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

Sworn to before me this

day of

, 19__