COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDGMENT AFFIDAVITJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)STATE OF NEW YORK))COUNTY OFThe undersigned, being duly sworn, depose(s) and say(s) that:1.The undersigned [was/were] named as grantee(s) in a certain deed recorded in the County Office in Liber of Deeds at page , conveying premises commonly known as ; and. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .THE PEOPLE OF THE STATE OF NEW YORK TO2.The undersigned [is/are] the owner(s) in fee of the premises described in said deed; and3.The attention of the undersigned has been called to certain judgments, tax liens, warrants, bankruptcies and/or incompetencies against persons with names similar to those of the undersigned; andGREETINGS:4.None of said judgments, tax liens or warrants are against the undersigned and there are no judgments, tax liens, warrants or other encumbrances or liens of any nature whatsoever against the undersigned; andWE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in room5.[Neither of the undersigned the undersigned] [has/has not] been adjudicated incompetent or bankrupt and [neither of] the undersigned [has/has not] filed any petition in bankruptcy nor has an involuntary petition in bankruptcy been filed against [either of] the undersigned.Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.6.This affidavit is made with the express understanding of the undersigned that a purchaser or a mortgagee of said premises will rely upon the truth and accuracy of all of the statements contained herein in closing the purchase of said premises., one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Subscribed and sworn to before me this day of , .Attorney(s) forNotary PublicOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:NYSBA PRACTICE FORMS 12/95RETO38Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com