26 Verification by governmental agency  


 
General Form 26
 
(Verification by
 
GovernmentalAgency)
 
9/81
VERIFICATION IN PROCEEDING BYGOVERNMENTAL AGENCY
STATE OF NEW YORK
 
)
 
 
: ss.:
 
COUNTY OF
__
 
)
__, being dulysworn, deposes and says:
That (s)he is ______ andis acquainted with the facts and circumstances of the above-entitled proceeding;that (s)he has read the foregoing petition and knows the contents thereof;that the same is true to (his)(her) own knowledge except as to those matterstherein stated to be alleged upon information and belief, and that as to thosematters (s)he believes it to be true.
Petitioner
Sworn to before me this
 
__ day of __, 19.
(Deputy)Clerk of the Court Notary Public