ASSUMPTION OF RISK AFFIDAVIT
State of New York Title No._______________
County of ________
I/We am/are the Purchaser(s) of the premises located at ___________________________
I/We have been advised by counsel and ________________ as agents of Stewart Title Insurance Company, of the risk that I/we may incur by reason of not obtaining an Owner’s Title Insurance Policy.
I/We understand that a Loan Policy issued to the Mortgagee does not extend its coverage to include a risk that I/we may incur by reason of not obtaining an Owner’s Policy.
I/We have declined to purchase an Owner’s Policy and hereby assume the risk that may incur for declining said Policy.
State of New York )
County of ____________ )
On the __________ day of ____________________ in the year ____________ before me, the undersigned, personally appeared _______________________, personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledge to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument.
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