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NYC Courts | Housing Forms – CIV-RC-94

CIV-RC-94 – Affirmation of Service (Personal Delivery) – New York

The CIV-RC-94 – Affirmation of Service (Personal Delivery) form is used to formally declare that an individual has personally delivered legal documents to another party. This affirmation is made under the penalties of perjury and is a legal requirement in the state of New York.

Sections of the Form

Affirmation Statement

    • Text: “I affirm this ____ day of ______________, 20, under the penalties of perjury under the laws of New York, which may include a fine or imprisonment, that the foregoing is true, and I understand that this document may be filed in an action or proceeding in a court of law.”
    • Instructions: Fill in the blank spaces with the appropriate date. This section confirms that you are making a truthful declaration under oath.

Printed Name

    • Field: “Printed Name: ___________________________”
    • Instructions: Write your full printed name in the space provided. This should be the name of the person who is making the affirmation and who personally delivered the documents.

Signature

    • Field: “Signature: _________________________________”
    • Instructions: Sign your name in the space provided. This signature verifies that you have personally delivered the documents and are affirming the truthfulness of this statement.

Steps to Complete the Form

  1. Enter the Date
    • Fill in the day, month, and year in the spaces provided in the affirmation statement.
  2. Print Your Name
    • Clearly print your full name in the designated space for “Printed Name.”
  3. Sign the Form
    • Sign your name in the designated space for “Signature.”

Legal Note: This form is a legal document. By signing it, you are swearing under the penalties of perjury that the information provided is true. Falsifying information on this form can result in fines or imprisonment.

Usage: Once completed, this form should be submitted or filed as required by the specific legal process it pertains to. This could involve filing it with a court or presenting it to a legal entity as proof of service.

If you have any questions or need further assistance, it is recommended to seek legal advice to ensure proper completion and filing of this form.

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