Affidavit: Smoke Alarm (Exec. Law 378(5)) and Carbon Monoxide Detector (Exec. Law 378(5-A))
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SMOKE ALARM AFFIDAVIT (EXEC. LAW § 378(5)) AND CARBON MONOXIDE AFFIDAVIT (EXEC. LAW § 378(5-a))
RE: Seller name Premises address New York
STATE OF NEW YORK ) ) ss: COUNTY OF )
Seller name ("Deponent"), being duly sworn, deposes and says that:
1. Deponent is the owner of the above-referenced real property, which is improved by a one or two-family dwelling, condominium unit or cooperative apartment used as a residence (the "Premises").
2. There is installed in the Premises an operable single station smoke detecting alarm device or devices and an operable carbon monoxide detector.
3. Deponent is executing this affidavit to indicate compliance with Section 378, Subdivision 5 and 5-a, of the Executive Law of the State of New York.
4. The word "Deponent" shall be construed to read in the plural whenever the sense of this affidavit so requires.
______Seller signatory
Sworn to before me this ______day of ______, 20____.
______Notary Public
NYSBA's Residential Real Estate Forms (12/02) © 2015 Matthew Bender & Co., a member of the LexisNexis Group.