New York Title Research Corp
THE CITY OF NEW YORK
DEPARTMENT OF HOUSING PRESERVATION AND DEVELOPMENT
AFFIDAVIT IN LIEU OF REGISTRATION STATEMENT	

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

____________________________________ being duly sworn, depose(s) and say(s):

1.  I am personally familiar with the real property know by the street address of [Unit/Apt.] [Street Address], [Borough], [City], [State] [Zip] ([Block] [Lot]) (the "Premises") and make this Affidavit as (describe capacity in which affidavit is made) in connection with a deed/lease/memorandum of lease (delete inapplicable description) which transfers an interest in the above real property, that is dated  [Date], and is between (insert name) as (insert capacity) and (insert name) as (insert capacity).

2.  The statements made in this Affidavit are true of my own knowledge, and I submit this Affidavit in order that this Instrument be accepted for recording without being accompanied by a registration statement, as such is defined by Article 2 of Subchapter 4 of Chapter 2 of Title 27 Section of the Administrative Code of the City of New York. 
       	
	3. Exemption from registration is claimed because the Instrument affects neither (a) an entire multiple dwelling as such is defined by Section 27-2004(a)(7) of Article 1 of Subchapter 1, of Chapter 2 of Title 27 of the Administrative Code of the City of New York and New York State Multiple Dwelling Law Section 4(7) nor (b) a private dwelling as such is defined by Section 27-204 (a) (4) of Article 1 of  Subchapter 1 of Chapter 2 of Title 27 of the Administrative Code of the City of New York and of the New York State Multiple Dwelling Law Section 4(6) that is required to register pursuant to, Article 2 of Subchapter 4 of Chapter 2 of Title 27 of the Administrative Code of the City of New York. The Instrument does not affect a multiple dwelling because it affects the following (check applicable item):

(  ) a commercial building
       	(  ) a one or two‑family dwelling whose owner or a family member resides in the dwelling
     	(  ) a condominium unit in a multiple dwelling
(  ) cooperative corporation shares relating to a single residential unit in a multiple dwelling
    	(  ) mineral, gas, water, air or other similar rights not affecting a multiple dwelling
(  ) lease of commercial space in a multiple dwelling
      	(  ) vacant land

4. I am aware that this Affidavit is required by law to be submitted in order that the Instrument be recorded or accepted for recording without being accompanied by a registration statement.  I am aware that any false statements made in this Affidavit may be punishable as a felony or misdemeanor under Penal Law Article 210 or as an offense under Administrative Code of the City of New York Section 10-154.
							
______________________________
Sworn to before me on this    day of            ,             .		           Signature

___________________________     		Address____________________________                                                 
               Notary Public				Telephone # ________________________