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Carbon Monoxide Detector Affidavit

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Carbon Monoxide Detector Affidavit Powered By Docstoc
					                       AFFIDAVIT OF COMPLIANCE WITH
                  CARBON MONOXIDE DETECTOR REQUIREMENT
                    FOR ONE AND TWO FAMILY DWELLINGS


The undersigned, being duly sworn, depose and say that under penalty of perjury that
they are the grantor of the real property or of the cooperative shares in a cooperative
corporation owning real property located at:

         ,             ,
Street Address                                                                   Unit/Apt.

      , New      York. (the “Premises”);
City/Town

That the premises is a one or two family dwelling, or a cooperative apartment or
condominium unit in a one-or-two family dwelling, and that installed in the Premises is
an approved and operational carbon monoxide detecting device in compliance with
subdivision 5-a of Section 378 of the Executive Law concerning carbon monoxide
detectors.



Name of Grantor                                           Name of Grantee


___________________________                               ____________________________
Signature of Grantor                                      Signature of Grantee




Date                                                      Date




These statements are made with the knowledge that a willfully false representation is
unlawful and is punishable as a crime under article 210 of the penal code.




                                     American Land Services, Inc.
         One Penn Plaza, Suite 3406, New York, NY 10119 Tel: 212.239.1000 Fax: 212.239.6970
            6800 Jericho Turnpike, Syosset, NY 11791 Tel: 516.921.4466 Fax: 516.921.3433
                                     AmericanLandServices.com

				
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posted:10/7/2011
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