STATE OF NEW YORK      )
                                              :   ss.
COUNTY OF ___________ )
 

The undersigned being duly sworn, deposes and says:

___________________________________ Deponent is not a party to the action, is over 18 years of age
(name of person mailing Notice of Appeal)

and resides at _________________________________________________________________________
                          (address of person mailing/delivering Notice of Appeal)
 

That on _______________________________, deponent served the within Notice of Appeal on
               (date of mailing/personal service)

_____________________________________ located at ____________________________________________
(name of other party or attorney for other party)                                         (address of other party or attorney for other party)

__________________________________________________________________________________
 
 

Select one:

____ by depositing a true copy of the same enclosed in a postpaid properly addressed envelope in a post office or official depository under the exclusive care and custody of the United States Postal Service.
 

____ by personally delivering the same.
 

                                                                                                    ___________________________________
                                                                                                   Signature of person mailing Notice of Appeal
 

                                                                                                                                     __________________________________________
                                                                                                   Printed Name
 

Sworn to before me this ________

day of ______________________
 

___________________________
                 Notary Public
 

AFTER THE AFFIDAVIT OF SERVICE BY MAIL HAS BEEN SIGNED AND NOTARIZED, THE ORIGINAL AND ONE (1) COPY OF THE NOTICE OF APPEAL AND AFFIDAVIT(S) OF SERVICE MUST BE FILED WITH THE CLERK OF THE CITY COURT.