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Get NYC AEU2 2019-2024

AEU2 Certificate of Correction Required for Certification of Department of Buildings Violations ONLY AFFIDAVIT 1 Violation Information SUMMONS NUMBER PLACE OF OCCURANCE Number and Street Borough and Zip COUNTY OF STATE OF I duly swear under penalty of perjury that I am the check one Respondent named on the violation Officer or Director of the named respondent Corporation circle one Managing Agent of the named respondent attach Letter of Designation by respondent Owner of Property but not named respondent if you are a new Owner attach copy of deed Partner of named respondent partnership Contractor or other Agent of named respondent attach written authorization from respondent My mailing address is Street Address City State Zip Code 2 Person Who Performed Work I have compiled with the order of the Commissioner to correct each condition cited on this violation. The work described in the attached sworn statement was completed on and was performed by check one Date Myself Name of person who performed work My Employee Company Contractor Address Architect/Engineer License/Registration No. of Professional/Licensee/Contractor REQUIRED I have attached a sworn/affirmed statement describing the work done to correct the violating condition s. In addition I have attached copies of all permits bills receipt photographs and/or other documentary proof the violating condition s has/have been corrected or have explained in my statement why such are not available. I am aware I may be required to attend any pending hearing on the violation or risk imposition of default penalties. 3 Cure Submission check box below only if eligible and you are requesting a cure - see reverse CURE REQUEST. I admit the existence of the violation s charged* I am aware a hearing is required if my request is not accepted* 4 Statement of Signature I have personal knowledge the violating condition s have been corrected as per this affidavit and statement s attached* Name print Notarization State of New York County of Signature Sworn to or affirmed under penalty of perjury day of Notary Seal Notary Signature False certification is a criminal misdemeanor under sections 28-203. 1. 1 and 28-211. 1 of the NYC Administrative Code punishable by up to one 1 year imprisonment and/or fine of up to 25 000. It is also punishable with a civil penalty of up to 25 000. Mail or return this form in-person with supporting documents to NYC Department of Buildings Administrative Enforcement Unit 280 Broadway 1st Floor New York NY 10007 Phone 212 393-2405 Rev* 3/19. In addition I have attached copies of all permits bills receipt photographs and/or other documentary proof the violating condition s has/have been corrected or have explained in my statement why such are not available. I am aware I may be required to attend any pending hearing on the violation or risk imposition of default penalties. I am aware I may be required to attend any pending hearing on the violation or risk imposition of default penalties. 3 Cure Submission check box below only if eligible and you are requesting a cure - see reverse CURE REQUEST. .

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