NY Process Service Inc. Providing Excellent Service for over 25 years.
NY Process Service Inc.Providing Excellent Service for over 25 years.

Company Name:_________________________________

Phone # _______________________________________

Requested by:___________________________________

Email: ________________________________________

Address:_______________________________________

Type of Services Requested: Court:________________ Case#__________________

Process Service: ___Rush Service ___Routine Service ____Specific Date________

Additional service instructions:_____________________________________

Documents to be served or filed: _______________________________________________

COURT FILING instruction: _______________________________________________

COURT RESEARCH instructions: _______________________________________________

Special Instructions: _______________________________________________

Defendant Address (PARTY TO BE SERVED)

Name:__________________________________________ Business:________________________________________

Address:________________________________________

City & Zip:______________________________________

Phone #_________________________________________

Alternate Address:

Address; ________________________________________

City State Zip:____________________________________

Phone #:_________________________________________

Defendant Description

DOB: ___________ CDL #: __________________________

Married: (Y) (N) (D)

Physical Description: Ht:_____ Wt:______ Hair:_________ Eyes:______ M/F:_____ Race:_______________________

Other identifying features: ___________________________

Vehicle info: Year:____ Make:______ Model:____________ Color:_____ License #_________________________

Other/ Misc. Information _________________________________________________

_________________________________________________

Contact Us Today!


1 Market Street Suite 172

Staatsburg, 12580-5264


Phone: 1 516 779-72541 516 779-7254

E-mail: williamw@nyprocess.net

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