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Affidavit Of Ownership And Authorization - New York

Affidavit Of Ownership And Authorization Form. This is a New York form and can be used in Board Of Standards And Appeals City Of New York New York Local County .
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BOARD OF STANDARDS AND APPEALS 40 Rector Street, 9th Floor New York, New York 10006-1705 Phone: (212) 788-8500 www.nyc.gov/bsa AFFIDAVIT OF OWNERSHIP AND AUTHORIZATION Affidavit of Ownership ________________________________________, being duly sworn, deposes and says that (s)he resides at___________________ , in the City of _________________, in the County of ______________, in the State of _____________________ ; that ______________________ is the owner in fee of all that certain lot, piece or parcel of land located in the Borough of ___________________, in the City of New York and known and designated as Block __________, Lot(s) _______________, Street and House Number ___________________________; and that the statement of facts in the annexed application are true. Check one of the following conditions: __ __ __ __ Sole property owner of zoning lot Cooperative Building Condominium Building Zoning lot contains more than one tax lot and property owner Owner's Authorization The owner identified above hereby authorizes _______________________________________________ to make the annexed application in her/his behalf. Signature of Owner Print Name Print Title ________________________________ ________________________________ ________________________________ Sworn to before me this _________________ day Of _____________________ 2 ________________ _________________________________________ Revised March 8, 2012 American LegalNet, Inc. www.FormsWorkFlow.com
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