STATE OF NEW YORK
COUNTY OF [County Name]
I, [YOUR NAME], being duly sworn, depose and say:
I am the legal owner of the property located at [Property Address], in the City/Town of [City/Town Name], County of [County Name], State of New York, further described as [Legal Description of the Property as found on the deed].
To the best of my knowledge, there are no liens, mortgages, unpaid taxes, assessments, or other encumbrances against the said property, except as noted herein: [List any known liens or encumbrances, or state "None"].
I am not aware of any disputes or adverse claims affecting the title of the said property, nor any rights of way, easements, or encroachments, except as disclosed herein: [List known disputes or claims, or state "None"].
I am not aware of any pending actions, judgments, or decrees that could affect the title to the said property, except as disclosed herein: [List any known actions or state "None"].
I have the legal right and authority to sell the said property, and I agree to defend the title against any and all claims and demands whatsoever.
I am [Married/Single/Divorced/Widowed] and [if married, include: "my spouse has no separate right, title, or interest.]
Information about whether the property complies with local zoning laws, including whether any part of the property is being used in a manner that does not comply with these laws.
Disclosure of any known environmental hazards or issues on the property, such as the presence of asbestos, lead-based paint, or contamination from hazardous materials.
Details about any easements that affect the property, including utility easements, right of way agreements, or shared access with neighboring properties.
Information about any improvements, additions, or major repairs made to the property, especially those for which building permits were required and whether those permits were obtained and closed properly.
If the property is located within a historical district or has been designated as a historical structure, which might impose restrictions on renovations or alterations.
For properties within an HOA, details about any HOA rules, regulations, and fees that apply to the property.
Information about any current leases or tenancies affecting the property, including rental agreements that will carry over after the sale.
Disclosure of any litigation or legal actions pending against the property or the owner that could affect the title or use of the property.
I affirm under penalty of perjury that the foregoing statements are true and correct to the best of my knowledge, information, and belief.
Executed this [DAY] of [MONTH], [YEAR].
[YOUR NAME]
Sworn to and subscribed before me this [DAY] of [MONTH], [YEAR].
Notary Public, State of New York
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