Affidavit - New York Supreme Court

[Fill in the spaces next to the instructions. Attach copies of the indicated

documents and mark them as exhibits. Sign your name in the presence of a

notary public]

SUPREME COURT OF THE STATE OF NEW YORK

COUNTY OF NASSAU

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[1. Index No. & Year]

Index No.

[2. Fill in name(s)]

Plaintiff(s)/Petitioner(s)

AFFIDAVIT

-against-

[3. Fill in name(s)]

Defendant(s)/Respondent(s)

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STATE OF NEW YORK,

COUNTY OF NASSAU ss:

I, [4. Your name]

, being duly sworn,

deposes and says:

[5. Describe what you are asking/telling the Court]

[6. Sign your name before a Notary Public]

Sworn to before me this

day of

, 20

[7. Print Your Name]

Notary Public [8. Affidavit must be notarized]

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Parent category: Legal