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Affidavit Made Pursuant to Section 12-108 G3 Diversified

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SURVEY AFFIDAVIT

Title #

Premises:

New York

County:

District

Section

Block Lot

Seller/Owner

Borrower

State of New York

County of

)

)

ss:

(We) being duly sworn deposes and says that (I) the owner of the premises which is fully described above. That we will be residing at

1. That (I) (We) have been the owner of the property described above for more than two years.

2. That the property is improved and used exclusively as a residential structure for not more than four families. That there are no commercial activities whatsoever conducted at the property.

3. That all improvements which are now located on the property have existed for two years or more.

4. That during our ownership there are no, or nor have there been any suits, administrative hearings or Court proceedings involving the property. (I) (We) have never been advised of any private disputes with any party including the owners of any properties which abut (my) (our) property, where the size of the property, the location of its boundaries or the placement of fences or improvements have been questioned. There are no persons who have in the past or who are now claiming any rights to use any portion of this property for any purpose whatsoever by claim of ownership hostile to (me) (us), or by any easement to use or cross the property.

5. That this affidavit is being given to induce Title Insurance to issue its policy of title insurance and to accept a (mortgage on) (deed to) the property knowing that they are relying upon the truth of the statements made by (me) (us) in this affidavit. That the statements made herein are based upon actual knowledge of the facts.

Sworn to before me this day of , 20

Notary Public

Enter text

What the Affidavit Made Pursuant to Section 12-108 G3 Diversified Is

An Affidavit Made Pursuant to Section 12-108 G3 Diversified is a sworn written statement prepared to satisfy the requirements of the cited statutory provision. It records facts the affiant declares under oath, identifies the legal basis (Section 12-108 G3 Diversified), and includes the affiant's signature, date, and a notarial jurat or acknowledgement when required by local rules. The document is used in administrative, regulatory, and litigation contexts where a formal, sworn statement is necessary to support a claim or filing.

Why this affidavit matters for accuracy and compliance

This affidavit creates a sworn, attributable record that supports legal or regulatory positions and reduces disputes about factual statements.

Why this affidavit matters for accuracy and compliance

Who typically prepares or signs this affidavit

Common users include professionals who must document facts under oath for regulatory, real estate, financial, or legal matters.

  • Real estate professionals and closing agents preparing sworn statements tied to property transactions or recorded instruments
  • Legal practitioners and paralegals drafting sworn factual statements for court filings, administrative proceedings, or client records
  • Company compliance officers and financial officers supplying sworn attestations for regulatory submissions or internal audits

Core components to include in a professional affidavit

A complete affidavit is structured to be clear, legally durable, and easy to verify; include these components to reduce challenge risk.

Caption

Case or matter caption and identification of the jurisdiction and statute (Section 12-108 G3 Diversified) so the affidavit is tied to the correct proceeding and legal authority.

Affiant identification

Full legal name, title or capacity, business or residential address, and relationship to the matter so the affiant's authority and relevance are clear.

Statement of facts

Numbered, concise factual paragraphs stating what the affiant personally knows or observed; avoid legal argument in place of fact-based assertions.

Attestation clause

A clear declaration of truthfulness, using language such as 'I declare under penalty of perjury under the laws of [State] that...' to establish the sworn nature of the statement.

Signature and date

Affiant's wet or electronic signature and the date of execution; the date anchors the affidavit to a specific point in time and affects filing deadlines.

Notary or jurat

Notarial block or jurat with notary signature, seal, and commission details where required by state law or local filing rules to validate the oath.

Step-by-step: completing and executing the affidavit

Follow these sequential steps to prepare, sign, notarize, and submit a compliant affidavit.

  • 01
    Prepare Document: Populate caption, affiant details, and clear, numbered factual paragraphs.
  • 02
    Review for Accuracy: Confirm names, dates, and exhibits; check for internal consistency and completeness.
  • 03
    Sign and Notarize: Execute signature in presence of a notary or use approved RON where allowed and documented.
  • 04
    Submit and Retain: Send to the filing authority or counterpart and retain a certified copy per retention rules.

How to customize and complete the affidavit online

Configure a digital workflow to capture required fields, signature authentication, and any supporting attachments before sending for signature.

Upload Document Upload a clean PDF or Word copy as the base document for field placement.
Add Fillable Fields Place name, date, checkbox, and signature fields; use conditional fields for optional exhibits.
Set Signer Order Define whether the affiant signs first or concurrently with witnesses or countersigners.
Authentication Method Choose email link, SMS code, or KBA depending on required assurance level.
Attach Supporting Docs Upload exhibits and label them clearly to match paragraph references in the affidavit.

Where to file, send, or submit the executed affidavit

Identify the correct recipient or filing office before execution to ensure timely acceptance and proper routing.

  • Court Clerk: File with the court clerk for litigation-related affidavits following local filing rules.
  • County Recorder: Record affidavits tied to real property with the county recorder if required for public record.
  • Regulatory Agency: Submit affidavits supporting administrative filings to the specified agency contact or portal.
  • Contract Counterparty: Send executed copies to counterparties or counsel as required by agreement provisions.

Distribution methods and technical formats for submission

Use compatible file formats and authentication methods that the receiving office or party accepts.

  • File Formats: PDF/A, PDF, and DOCX are commonly accepted for affidavits.
  • Integration Options: Use integrations (Salesforce, NetSuite, Microsoft 365, Google Workspace, Procore) for automated routing.
  • Authentication: Select email, SMS, KBA, or RON per the receiving authority's rules.

Common timing considerations and submission windows

Timing for affidavit use varies by purpose; note common deadlines and when to provide sworn evidence.

Upon Request:

Provide affidavit immediately when requested by opposing counsel or regulator.

Court Filing Deadlines:

Adhere to local civil or criminal filing schedules and brief deadlines.

Contractual Timeframes:

Submit within contract-specified response or cure periods tied to disputes.

Agency Filing Windows:

Follow regulatory windows for administrative submissions or appeals.

Statute-Related Timing:

Consider statutes of limitation and how affidavit dates interact with filing requirements.

Key milestones from drafting to retention

Track these sequential milestones to keep the affidavit process auditable and defensible.

01

Drafting Completed

Affidavit text finalized and exhibits identified for signature and review.

02

Execution and Notarization

Affiant signs, and notary completes jurat or RON session is recorded.

03

Submission

File with the intended recipient—court, recorder, agency, or counterparty.

04

Record Retention

Store executed copies and audit trail per retention requirements.

Common mistakes to avoid when preparing the affidavit

  • Using informal or argumentative language instead of concise factual, numbered paragraphs that limit hearsay and speculation.
  • Mismatched names, titles, or dates between the affidavit and supporting exhibits that create authentication issues.
  • Omitting the notary block, failing to notarize where required, or using an unsupported RON process for the receiving jurisdiction.
  • Failing to attach or label exhibits referenced in the affidavit, which can result in return or rejection.

Penalties and legal risks for incorrect or false affidavits

Perjury Exposure: Criminal or civil penalties may apply for knowingly false statements.
Evidence Exclusion: Court may exclude or give little weight to a defective affidavit.
Administrative Rejection: Regulators may reject filings that lack proper notarization or attestations.
Contractual Breach: Incorrect affidavits can trigger breach remedies under contract terms.
Tax Consequences: Related tax filings may face penalties if affidavits underpin tax positions.
Professional Discipline: License holders risk professional discipline for false sworn statements.

Affidavit versus unsworn declaration: a quick comparison

Choose the correct document type based on whether an oath or notarization is required and the accepting authority's rules.

Criteria Affidavit Unsworn Declaration
Notarization often required generally not required
Oath Administered
Typical Use court and recorded filings internal or statutory filings accepting declarations
Authentication Strength higher (jurat, notary) lower (signed under penalty of perjury)

Essential information to collect and verify on the form

Affiant Name: Full legal name
Affiant Address: Street, city, state, ZIP
Section Citation: Reference to Section 12-108 G3
Statement Content: Numbered factual paragraphs
Execution Date: MM/DD/YYYY
Notary Block: Jurat or acknowledgement

Real-world examples of how the affidavit is used

Two representative scenarios show typical drafting, execution, and filing workflows tied to this affidavit type.

Real Estate Closing

A title company prepares a sworn affidavit of possession to cure a title exception and expedites closing

  • Affiant signs before a notary on closing day
  • The recorded affidavit clears title for recording and is retained with the closing file for seven years to support future title searches.

Administrative Filing

A compliance officer submits a sworn factual statement to an agency as part of a licensing review

  • The affidavit is notarized and uploaded to the agency portal
  • The affidavit becomes part of the administrative record and is kept per agency retention policy for audit.

eSignature vendor pricing comparison for affidavit workflows

Compare basic pricing and core capabilities relevant to affidavit execution and secure submission; signNow is listed first per standard comparison format.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial, no credit card No free trial No free trial Yes, limited trial Yes, limited trial
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No
Envelope Cap No cap 100 envelopes/user/year Varies by plan Varies by plan Varies by plan

Frequently asked questions and troubleshooting for this affidavit

Answers to common questions about execution, notarization, electronic signing, and filing to help avoid processing delays.


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