STATE OF________________)
                                           ) SS:
COUNTY OF______________)

THE UNDERSIGNED, BEING DULY SWORB, DEPOSES AND SAYS THAT DEPONENT IS OVER 18 YEARS OF AGE AND ON ____________19___ SERVED THE WITHIN NOTICE OF MECHANICS LIEN
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ON THE OWNER HEREIN AT_________________________________________________________

(  ) BY DELIVERING A TRUE COPY TO SAID OWNER PERSONALLY. DEPONENT KNEW THE PERSON SO SERVED TO BE THE OWNER.

(  ) AS THE OWNER COULD NOT BE FOUND, BY DELIVERING A TRUE COPY TO THE AGENT ATTORNEY OF THE OWNER.

(  ) AS THE OWNER COULD NOT BE FOUND, BY LEAVING IT AT THE LAST KNOWN PLACE OF RESIDENCE OF THE OWNER IN THE CITY OR TOWN IN WHICH THE REAL PROPERTY OR SOME PART THEREOF IS SITUATED, WITH A PERSON OF SUITABLE AGE AND DISCRETION

(  ) AS THE OWNER COULD NOT BE FOUND, BY DEPOSITING A TRUE COPY OF SAME, ENCLOSED IN A CERTIFIED REGISTERED MAIL, POSTPAID, PROPERLY ADDRESSED WRAPPER, IN AN OFFICIAL DEPOSITORY OF THE UNITED STATES POSTAL SERVICE IN THE STATE OF NEW YORK.

(  ) AS THE OWNER COULD NOT BE FOUND, HAS NO LAST KNOWN PLACE OF RESIDENCE IN THE CITY OR TOWN IN WHICH THE REAL PROPERTY OR SOME PART THEREOF IS SITUATED, AND HAS NO AGENT OR ATTORNEY, BY AFFIXING A TRUE COPY THEREOF CONSPICUOUSLY ONSUCH PROPERTY, AT _________(AM) (PM) (BETWEEN THE HOURS OF NINE O’CLOCK IN THE FORENOON AND FOUR O’CLOCK IN THE AFTERNOON).

(  ) AS THE OWNER IS A CORPORATION, BY PERSONALLY DELIVERING A TRUE COPY AND LEAVING IT WITH THE PRESIDENT VICE-PRESIDENT SECRETARY CLERK CASHIER TREASURER DIRECTOR MANAGING AGENT OF THE CORPORATION.

(  ) AS THE OWNER IS A CORPORATION, AND NO OFFICER OF THE CORPORATION COULD BE FOUND WITHIN THE STATE, BY AFFIXING A TRUE COPY CONSPICUOUSLY ON SUCH PROPERTY AT__________ (AM) (PM) (BETWEEN THE HOURS OF NINE O’CLOCK IN THE FORENOON AND FOUR O’CLOCK IN THE AFTERNOON).

(  ) AS THE OWNER IS A CORPORATION, AND NO OFFICER OF THE CORPORATION COULD BE FOUND WITHIN THE STATE, BY DEPOSITING A TRUE COPY OF SAME, ENCLOSED IN A CERTIFIED REGISTERED MAIL, POSTPAID, PROPERLY ADDRESSED WRAPPER, IN AN OFFICIAL DEPOSITORY OF THE UNITED STATES POSTAL SERVICE IN NEW YORK STATE.

 
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SWORN TO BEFORE ME THIS ________________ DAY OF ________________, 19____.

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NOTARY