Fill and Sign the I Am Not a Party to the Action Am over 18 Years of Age and Reside at Form

SUPREME COURT OF THE STATE OF NEW YORK 11COUNTY OF --------------------------------------------------------------------X 22 33Plaintiff,Index No.:-against-AFFIDAVIT OF SERVICE 44Defendant.-------------------------------------------------------------------X 55STATE OF }ss:COUNTY OF } 66______________________________ being duly sworn, says: 771.I am not a party to the action, am over 18 years of age and reside at:________________________________________________________________________ 882.On__________________, at ____a.m./p.m. at ________________________________ _________________________________________ I served the  summons with notice OR  summons and verified complaint, and the notice of automatic orders,and, if the divorce was commenced on or after January 25, 2016, the notice of guidelinemaintenance on ____________________________, the Defendant named by delivering a truecopy to the Defendant personally.  In addition I served a copy of the Child Support Standards Chart.  In addition I served a copy of the Notice of Continuation of Health Care Coverage 3.The notice required by the Domestic Relations Law, Section 232 -- “ACTION FOR A DIVORCE” -- was legibly printed on the face of the summons served on the Defendant. 9 94.I knew the person so served to be the person described in the summons as the Defendant.My knowledge of the Defendant and how I acquired it is as follows: (select one)I have known the defendant for _______ years and____________________ ____________________________________________________________________________________________________________________________________ORI identified the Defendant by a photograph annexed to this affidavit and which was given to me by the Plaintiff. ORPlaintiff accompanied me and pointed out the Defendant. ORI asked the person served if he/she was the person named in the summons andDefendant admitted being the person so named.(Form UD-3 Rev. 1/25/16) 5.Deponent describes the individual served as follows: SexHeightWeight Age Color of SkinColor of Hair Male Female Under 5’ 5’0”-5’3” 5’4”-5’8” 5’9”-6’0” Over 6' Under 100 Lbs. 100-130 Lbs. 131-160 Lbs. 161-200 Lbs. Over 200 Lbs. 14-17 Yrs. 18-20 Yrs. 21-35 Yrs. 36-50 Yrs. 51-65 Yrs. Over 65 Yrs.Describe color:________________________________________________ Black Brown Blond Gray Red White Balding  Bald Other identifying features, if any:___________________________________________________.1010  6a.At the time I served the Defendant, I asked him/her if he/she was in the military service of thisstate, any other state, or this nation, and the Defendant responded in the negative. 6b.The Defendant stated that he/she is in the following military service . 6c.The Defendant refused to answer.1111 ______________________________Server’s Signature Subscribed and Sworn to before me on NOTARY PUBLIC (Form UD-3 Rev. 1/25/16)