State: New York
STATE OF )
SS:
COUNTY OF )
1. [I] [WE] are the transferors (s) of the property described herein, and attest that the property at the time of transfer has installed on its premises an operable single or multiple station smoke alarms and single or multiple carbon monoxide alarms.
2. The property is a [one] [two] family dwelling located at:
Address:
Town: County:
State: Zip:
3 [I] [WE] make this affidavit in accordance with Section 373 subdivision 5 of the Executive Law,
Transferor: L.S.
Transferor: L.S.
Sworn to before me this
day
of , 20.
Notary Public
SMOKE AND CARBON MONOXIDE DETECTOR AFFIDAVITS NY02: AFFIDAVIT OF COMPLIANCE OF SMOKE ALARM AND CARBON MONOXIDE ALARM INSTALLATION IN ONE AND TWO FAMILY HOME