RESIDENTIAL COOPERATIVE UNIT AFFIDAVIT

State of _________ }
County of _______ }ss:

____________________________ each being duly sworn, deposes and says:

1. Deponent is the Proprietary Lessee of the premises known as Unit #_____ in the cooperative building having an address of ________________________ and is the registered owner of _____ shares of stock of __________________________ , a New York corporation.

2. Deponent is the same person who acquired title to the unit herein by(proprietary lease) (assignment of proprietary lease) dated: _______________.

3. There are presently no tenants or persons in possession of said unit other than deponent.

4. Deponent has no knowledge of any pledge disposition or liens upon said share other than those shown Certificate of Title.

5. Deponent has not been known by any other name, married, or single during the past ten years except:

6. None of the judgments, federal tax liens, parking violation judgments, or state tax warrants, set forth in Exception No. ______ in Title No. _____________ of First American Title Insurance Company of New York ("First American") are against deponent. Deponent has never resided or maintained an office at any of the addresses set forth in the judgments, federal tax liens, parking violation judgments, or state tax warrants in Exception and as aforementioned.

8. Deponent makes this affidavit to induce First American, to insure said title, free and clear of the aforesaid.

_________________________

Sworn to before me this
____ day of _______ , 19 ___

________________________

Notary Public