Answer - New York Supreme Court Page 3

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[Fill in the spaces next to the instructions.]
SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF NASSAU
----------------------------------------------------------------------------x
[ Index No. & Year]
___________________________________________,
Index No.
[ Fill in name(s)]
Plaintiffs/Petitioner(s)
___________ /
VERIFICATION
-against-
____________________________________________,
[ Fill in name(s)]
Defendants/Respondent(s)
-----------------------------------------------------------------------------x
STATE OF NEW YORK}
SS. :}
COUNTY OF ____________}
[Insert County where papers signed and notarized]
I, _______________________________[ Insert Your Name] , being duly sworn,
deposes and says: I am Defendant in this matter. I have read the foregoing Answer 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
[SIGN YOUR NAME BEFORE NOTARY]
[ PRINT YOUR NAME]
Sworn to before me this
day of ______________, 20 __
___________________________
Notary Public
[Verification must be notarized]

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