AFFIDAVIT IN CONNECTION WITH A NO CONSIDERATION TRANSFER
TITLE NO.: STATE OF NEW YORK )
DATE: COUNTY OF ________________________)
I/We, __________________________, being duly sworn depose and say under the penalties of perjury as follows:
I/We hereby acknowledge and confirm that the deed from ______________________________________________, Grantor, to ______________________________________________, Grantee, dated ____________________ and recorded ____________________ in Liber/Reel/Instrument No. ______________________________________
________________________________ at page ____________________ was made for no consideration.
Said deed conveying title in the property known as:
Section: _________________ Block: _________________ Lot: _________________
The undersigned represents that the grounds upon which the claim of no consideration is based as follows:
The aforementioned no consideration transfer was made solely for the grounds stated herein. That in the execution and delivery of said deed the Grantor(s) was/were not acting under any misapprehension as to the effect thereof, and acted freely and voluntarily and was/were not acting under coercion or duress. I/we affirmatively represent that said transfer does not leave insolvent, and is not done to hinder, delay or fraud creditors.
I [We] make this affidavit to induce __________________________ as policy issuing agent for Stewart Title Insurance Company (collectively, “Title Insurer”) to insure title to the Premises free and clear of any exceptions for the above matters, knowing that Title Insurer is relying on the accuracy of the foregoing statements.
Sworn to before me on the
____ day of ___________, 20___
Notary Public State of New York
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