Fillable Printable Affidavit of Smoke Detector Equipment

Affidavit of Smoke Detector Equipment

AFFIDAVIT

STATE OF NEW YORK )

COUNTY OF ROCKLAND )

I,_____________________________________ being duly sworn, deposes

and says;

1. That I currently reside at: ______________________________

2. That the premises at: _________________________________

___________________________________New York, is presently

equipped with a smoke detector system located adjacent to the bedrooms and

this smoke detector system is presently in good working order.

3. That this affidavit is being given with the knowledge that it will

be relied upon by the Village of West Haverstraw in order to approve a

Certificate of Occupancy and Violation Search for these premises.

____________________________

Sworn to before me this

____ day of ____________, 20____

_____________________________

Notary Public