[Fill in the spaces next to the instructions. Other spaces are for Court use.]SUPREME COURT OF THE STATE OF NEW YORKCOUNTY OF NASSAU----------------------------------------------------------------------------x[1. Index No. & Year] ,Index No. [2. Fill in name(s)] Plaintiff(s) / AFFIDAVIT OF -against-CONSENT OF INFANTOVER THE AGE OF 14 ,YEARS [3. Fill in name(s)] Defendant(s)-----------------------------------------------------------------------------xSTATE OF NEW YORK, ss}COUNTY OF NASSAU: I, [4. Infant name] being duly sworn,deposes and says: I am the infant age 14 years or older whose funds are the subject ofthis proceeding and has read the foregoing petition of [5. Insert Name of Petitioner] , and joins in the prayer for relief and consents thereto. [6. Infant Signature] [7. Print Name]Sworn to before me thisday of , 20 Notary Public[8. Consent must be notarized] American LegalNet, Inc. www.FormsWorkFlow.com SUPREME COURT OF THE STATE OF NEW YORKCOUNTY OF NASSAU----------------------------------------------------------------------------x , [1. Index No. & Year]Index No. / AFFIDAVIT OF [2. Fill in name(s)] -against- CONSENT OF INFANTOVER THE AGE OF 14 YEARS ,[3. Fill in name(s)] Defendant(s) -----------------------------------------------------------------------------xSTATE OFNEWYORK, ss}COUNTY OF NASSAU: being duly sworn,deposes and says: I am the infant 14 years or older whose funds are the subject ofthis proceeding and ha read the foregoing petition of Notary Public Sworn to before me thisday of , 20 American LegalNet, Inc. www.FormsWorkFlow.com