Civil Court of the City of New York
County of ____________________
Index Number________________
Part
AFFIDAVIT OF SERVICE
OF A SUBPOENA TO
Claimant(s)/Plaintiff(s)/Petitioner(s)
TESTIFY
-against-
Defendant(s)/Respondent(s)
State of New York, County of _____________________ss.:
__________________________________________, being duly sworn, deposes and says:
(Name of person who served the papers)
I am over 18 years of age and not a party to this action. At _______________ AM/PM,
(Time)
on________________ at _________________________________________________________
(Date)
(Address)
in the County of ______________________, City of New York, I served a Subpoena
(County)
in this matter on __________________________________________________ whom I know to
(Name of the witness)
to be the person named in this subpoena by delivering and leaving with him/her personally a true copy
of it and paying him/her the sum of $_______________ for one day’s attendance and fees for traveling to
(Amount of Fee)
the place where s/he was required by the Subpoena to attend, if required:
Description of Individual Served in Person
Gender:____________
Color of Skin: _________
Color of Hair:___________
Approximate Age:_____
Approximate Weight:______ Approximate Height:_______
Sworn to before me this ______ day of _____________, 20____
_________________________________
_______________________________
Signature of Notary Public
Signature of Server
General Instructions
Anyone NOT A PARTY to the action who is over the age of 18 may serve the Subpoena.
1. Find the person to be served (the witness).
2. Give that person a copy of the Subpoena and the witness fee.
3. Give all the affidavits of service to the person on whose behalf this subpoena was
served for further proceedings in case the witness does not comply with the subpoena.
FREE CIVIL COURT FORM
No fee may be charged to fill in this form
CIV-GP-71(Reverse) (Revised 7/09)