NY Marriage Affidavit

MARRIAGE AFFIDAVIT

State of New York                                                                 Title No._______________
                                        ss:
County of ________

I, _________________________, being duly sworn, depose and state the following to be true under the penalty of perjury:

1.    I currently reside at:

2.    I am the ____________ of _____________________ who died a resident of _______________ County, on the _______ day of _____________, 20_____.

3.     ______________________ and ________________ were continuously married up to the time of his/her death and said marriage was not terminated by divorce, annulment or by a judicial decree of separation.

4.    I make this statement knowing full well that __________________________, as policy issuing agents for Stewart Title Insurance Company relies on the accuracy thereof for the purposes of issuing its policy of title insurance free and clear of the aforesaid.

_________________________________

Sworn to before me this _____ day

of __________________, 20____.

____________________________
               Notary Public