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Get NY W-147N 2011

, etc.) "I, true and complete. , hereby swear/affirm, under penalty of perjury, that the information I have given above is (Signature of Landlord or Office of Corporation) (Print Name) Subscribed and sworn to/affirmed before me this (Date) (Signature) (Notary Seal)" Please submit the following items along with this claim form: proof of ownership (of the premises); and documentation of unpaid rent (e.g., court judgment or stipulation, landlord breakdown, etc.) or documentation to verify the d.

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