Verified Complaint Landlord/tenant Page 3

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LANDLORD VERIFICATION
1. I certify that I am the
landlord,
general partner of the partnership, or
authorized officer of a
corporation or limited liability company that owns the premises in which tenant(s) reside(s).
2. I have read the verified complaint and the information contained in it is true and based on my personal
knowledge.
3. The matter in controversy is not the subject of any other court action or arbitration proceeding now pending or
contemplated and no other parties should be joined in this action except (list exceptions or indicate none):
.
4. I certify that confidential personal identifiers have been redacted from documents now submitted to the court,
and will be redacted from all documents submitted in the future in accordance with Rule 1:38-7(b).
5.
The foregoing statements made by me are true and I am aware that if any of the foregoing statements made
by me are willfully false, I am subject to punishment.
DATED:
(Signature of Landlord, Partner or Officer )
(Printed Name of Landlord, Partner or Officer )
Effective 9/1/2009, CN 11252-English (Appendix XI-X)
page 3

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