NYC Department of Finance
l
Office of the
Sheriff
SERVICE OF PROCESS INTAKE
SH-0609 11.10.2016
S
E
C
TIO
N
I
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F
IL
IN
G
PA
R
TY
IN
FO
R
M
A
T
IO
N
Filin
g
D
a
y
t
ime
Pa
r
t
y
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e
le
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h
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P
R
IN
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F
IR
S
T
N
A
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P
R
IN
T
L
A
S
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N
A
M
E
Ad
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r
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C
it
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_ Zip
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N
U
M
B
E
R
A
N
D
S
T
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A
P
T
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N
O
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SECTIONIII - GENERAL INFORMATION
Indicate below any information which may be helpful in effecting a prompt and safe service of the person: i.e. best time to serve papers,
criminal activity at location, threats of violence, animals, person is emotionally disturbed or any other behavior or circumstance.
_______________________________________________________________________________________________
_______________________________________________________________________________________________
SECTIONIII - SUBJECT INFORMATION
Pe
r
s
o
n
T
o
D
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t
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Be
Se
r
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_ o
f
Bir
t
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_ SSN
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PRINT
FIRST
NAME PRINT
LAST
NAME
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s
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Bo
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Zip
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NUMBER
AND
STREET
APT
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NO
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Be
s
t
Time
t
o
Att
e
mp
t
Se
r
v
ic
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a
t
t
h
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o
me
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Alt
e
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a
t
iv
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NUMBER
AND
STREET
APT
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NO
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Be
s
t
Time
t
o
Att
e
mp
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Se
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v
ic
e
a
t
t
h
is
a
d
d
r
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H
o
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Emp
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Physical Description: Picture Provided?
q
YES
q
NO
Sex:
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Height
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_ Weight
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Hair:
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Skin:
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Tatoos/Other:
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V
ehicle I
nf
ormation:
Make:
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Model: _
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Year:
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Color:
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S
E
C
TIO
N
II
-
C
O
U
R
T
IN
F
O
R
M
A
TIO
N
The
Sum
m
ons
w
a
s
obt
a
i
ne
d
i
n
t
he
f
ol
l
ow
i
ng
C
our
t
:
q
F
AMI
L
Y
C
O
U
R
T
q
SU
PR
EME
C
O
U
R
T
q
C
I
VI
L
C
O
U
R
T
q
O
TH
ER
C
O
U
R
T
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Count
y of
:
q
NE
W Y
ORK
q
B
RONX
q
K
INGS
q
QUE
E
NS
q
RICHM
OND
q
OTHE
R
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Court
Address:
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____ Cit
y: ______
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St
at
e:
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_____ Zip Code:
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N
U
M
B
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N
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S
T
R
E
E
T
Mail to: County Office of the Sheriff where the services are to be made. County Sheriff locations are listed on the reverse side.
Instructions: Use this form to request services from the Office of the Sheriff. Service can include notices, petitions, subpoe-
nas, orders, writs and other related papers. Please read the entire page before completing and see reverse side for informaiton
r
egarding service fees and borough locations of the Office of the Sheriff. Please note: This form MUST be completed in English.
SECTION IV - CERTIFICATION
The undersigned hereby affirms to the best of his/her knowledge that the mandate being filed is in full effect, and request
is made to the Sheriff for service by statutory authority.
_______________________________________________________ ______________________________________
Signature: Date:
Visit Finance at nyc.gov/finance