90 Day Affirmation Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
90 Day Affirmation Form. This is a New York form and can be use in Appellate Division Appellate Courts.
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Tags: 90 Day Affirmation, New York Appellate Courts, Appellate Division
STATE OF NEW YORK
APPELLATE DIVISION
FOURTH DEPARTMENT
,
Petitioner,
-V-
AFFIRMATION
DOCKET NO:
,
Respondent.
______
, ESQ., hereby states, under the
LAW GUARDIAN
penalty of perjury:
1.
I am an attorney and counselor at law admitted to
practice law in the State of New York with an office at _________
________________________________________________________________.
2.
I have submitted, with this affirmation, a voucher for
services rendered in the above case.
3.
I have not been paid for the services rendered and I
have not previously made a claim for payment.
4.
I have filed the voucher for this case more than ninety
(90) days after I have completed my assignment because __________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________.
DATED:
______________________________
Law Guardian
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