New York Title Research Corp
AFFIDAVIT OF COMPLIANCE WITH SMOKE DETECTOR REQUIREMENT
FOR ONE AND TWO FAMILY DWELLINGS	

TITLE CO 
TITLE NO 
DATE:				  

STATE OF NEW YORK		)
)SS.:
COUNTY OF			)

				being duly sworn, depose and say under penalty of perjury that they are the grantor and grantee of the real property or of the cooperative shares in a cooperative corporation owning real property located at [Unit/Apt.] [Street Address], [Borough], [City], [State] [Zip] ([Section] [Block] [Lot]) (the "Premises").

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 smoke detecting device in compliance with the provisions of Article 6 of Subchapter 17 of Chapter I of Title 27 of the Administrative Code of the City of New York concerning smoke detecting devices

That they make affidavit in compliance with New York City Administrative Code Section 11‑2105 (g). These statements are made with the knowledge that a willfully false representation is unlawful and is punishable as a crime  of  under Article 2 10 of the Penal Law.
(The signatures of at least one grantor and one grantee are required, and must be notarized).

Name of Grantor	Name of Grantee	
		
Signature of Grantor	Signature of Grantee	
		
Sworn to before me this ______date of ________, 	Sworn to before me this ______date of ________, 	
		
Notary Public State of New York	Notary Public State of New York	

NEW YORK CITY REAL PROPERTY TRANSFER TAX RETURNS FILED ON OR AFTER FEBRUARY 6th, 1990, WITH RESPECT TO THE CONVEYANCE OF A ONE‑ OR TWO‑FAMILY DWELLING, OR A COOPERATIVE APARTMENT OR A CONDOMINIUM UNIT IN A ONE‑ OR TWO‑FAMILY DWELLING, WILL NOT BE ACCEPTED FOR FILING UNLESS ACCOMPANIED BY THIS AFFIDAVIT.