Petition - New York Supreme Court Page 4
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SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF NASSAU
----------------------------------------------------------------------------x
In the Matter of the Application of
[24. Index No. & Year]
___________________________________________,
Index No.
[25. Fill in name(s)]
Petitioner(s)
___________ /
VERIFICATION
-against-
____________________________________________,
[26. Fill in name(s)]
Respondent(s)
-----------------------------------------------------------------------------x
STATE OF NEW YORK}
SS. :}
COUNTY OF ____________}
[27. Insert County where papers signed and notarized]
_______________________________[28. Insert Your Name] , being
duly sworn, deposes and says: I am the__________________________ [29. Insert
Petitioner or Respondent] in this matter. I have read the foregoing
__________________ [30. Insert the name(s) of the above documents e.g. affidavit,
petition etc.] and know the contents thereof. The same are true to my knowledge,
except as to matters therein stated to be alleged on information and belief and as to
those matters I believe them to be true
_________________________________
[31. SIGN YOUR NAME BEFORE NOTARY]
_________________________________
[32. PRINT YOUR NAME]
Sworn to before me this
day of ______________, 20 __
___________________________
Notary Public
[33. Verification must be notarized]
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