State: New York
State of )
County of ) ss:
, each being duly sworn depose(s) and say(s):
1. I am the owner of, or I am one of the owners of, (insert address) (hereafter the Premises), which I am selling to (hereafter the Purchaser).
2. I am not in default in making any payments under my mortgage. There is no action to foreclosure any mortgage on the Premises. I am not in arrears in any real estate taxes due against the property.
3. I make this affidavit knowing that is relying on the truth of the statements made herein in insuring title to the Premises.
Sworn to before me on
, 20
AFFIDAVIT NY34: HOME EQUITY THEFT PREVENTION ACT AFFIDAVIT SELLER'S AFFIDAVIT | SELLER NOT IN FORECLOSURE OR DEFAULT