Form Ja-10 (1/2004) Petition For A Compulsory Accounting And Related Relief In The Estate Page 3
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4STATE OF NEW YORK
)
COUNTY OF ________________________ ) ss.:
______________________________________________, being duly sworn deposes and says that I am/we are the petitioner(s)
above named. I/we have read the foregoing petition and the same is true of my/our own knowledge except as to matters therein stated
to be alleged upon information and belief and as to those matters I/we believe them to be true.
___________________________________________
__________________________________________________
(Signature of Petitioner)
(Signature of Petitioner)
___________________________________________
__________________________________________________
(Print Name)
(Print Name)
On______________________________________________________________,_____________, before me personally came
____________________________________________________________________________________________________________
to me known to be the person(s) described in and who executed the foregoing instrument. Such person(s) duly swore to such
instrument before me and duly acknowledged that he/she/they executed the same.
_____________________________________________
Notary Public
Commission Expires:
(Affix Notary Stamp or Seal)
STATE OF NEW YORK
)
COUNTY OF ________________________ ) ss.:
The undersigned, a
of
(Title)
(Name of Bank or Trust Company)
a corporation duly qualified to act in a fiduciary capacity without further security, being duly sworn, say:
1. VERIFICATION: I have read the foregoing petition subscribed by me and know the contents thereof, and the same is true of
my own knowledge, except as to the matters therein stated to be alleged upon information and belief, and as to those matters I believe
it to be true.
_____________________________________________
(Name of Corporate Petitioner)
_____________________________________________
(Signature of Officer)
_____________________________________________
(Print Name and Title Of Officer)
On ______________________________________________, before me personally came ____________________________,
to me known, who duly swore to the foregoing instrument and which did say that he/she resides at _________________________and
that he/she is a _______________________________________of ________________________________________________ the
corporation described in and which executed such instrument, and that he/she signed his/her name thereto by the order of the Board of
Directors of the corporation.
___________________________________________
Notary Public
Commission Expires:
(Affix Notary Stamp or Seal)
Signature of Attorney: _________________________________________________________________________________________
Print Name: _________________________________________________________________________________________________
Firm Name: ___________________________________________________________________ Tel. No. _______________________
Address of Attorney: __________________________________________________________________________________________
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