Sworn to before me this ____ day of ______, 200__. X_____________________________________. (Notary Public or Commissioner of Deeds).4. Write the case Index Number. 5. Enter the county where the affidavit is notarized. 6. The user of this affidavit agrees to hold the Department harmless for any and all claims which may arise as a result of completing this affidavit. General affidavit form for use within the State of New York. Modify this affidavit to meet your specific needs. After the Affidavit of Service is done, it must be filed with the Court. Services include witnessing the signing of important documents, taking affidavits and depositions and giving oaths. DATED: Signature of Plaintiff.