Fillable Printable Innocent Owner Affidavit - New York

Innocent Owner Affidavit - New York

STATE OF NEW YORK )

COUNTY OF )

AFFIDAVIT

, (the “applicant”), being duly sworn, deposes and says that:

1. The applicant is the owner of the property located at ,

identified on the tax maps of the City of New York as Borough , Block , Lot

(hereinafter referred to as the “property”);

2. The applicant took title to the property on the day of , 20 , in an

arms length transaction in which the applicant paid a sale price of $ ;

3. The applicant makes this affidavit to request that the City of New York cancel the lien on the

property for the following charges:

Date(s) of entry of charge(s) Amount of charge(s)

/ / $

(attach addendum if necessary) ;

4. To the best of the applicant’s knowledge, at the time of the closing of title to the property in the

transaction described in paragraph 2 herein, the records of the Department of Finance showed

that the charges listen in paragraph 3 herein were paid, and at such time the applicant was not

aware that the payment of any of the charges was not actually made, or that a check for

payment of any of the charges was rendered but was drawn on an account with insufficient

funds, nor was the applicant aware of any circumstances under which the City of New York

might determine that any of the above-referenced charges were unpaid;

5. The applicant had no relationship with the party from whom the applicant purchased the

property other than an arms length buyer-seller relationship, and the consideration that the

applicant paid for the property was based on its market value, and therefore the applicant is a

bone fide purchaser of the property for value.

_________________________________________

Signature of Property Owner

_________________________________________

Print Name (and title, if applicable)

fifth

(INDIVIDUAL)

On this day of , 20 , before me personally appeared

, to me known and known to me to be the person described in

and who executed the foregoing, and acknowledged to me the execution thereof.

____________________________________

NOTARY PUBLIC

(PARTNERSHIP)

On this day of , 20 , before me personally came

, to me known and known to me to be a member of

, the firm described in and which executed the foregoing and he

acknowledged to me that he subscribed the name of said firm thereto on behalf of said firm.

____________________________________

NOTARY PUBLIC

(CORPORATION)

On this day of , 20 , before me personally came

, to me known, who, being by me duly sworn, did depose and say that

he resides in the City of , and is the of

, the corporation described in and which executed the

foregoing; that he knows the seal of said corporation; that the seal affixed to the foregoing is such

corporate seal; and that it was so affixed by order of the Board of Directors of said corporation and

that by like order he signed his/her name and official designation.

____________________________________

NOTARY PUBLIC