STATE of NEW YORK
COUNTY COURT : COUNTY of ERIE
IN the MATTER of the FORECLOSURE of
TAX LIENS, by PROCEEDING IN REM PURSUANT
to the IN REM PROVISIONS of the ERIE COUNTY
TAX ACT and the RESOLUTION of the ERIE
COUNTY LEGISLATURE as SHOWN by RESOLUTION
No, ____ at pages _____ and _____ of the MINUTES
of said LEGISLATURE for the YEAR _______ AFFIDAVIT of
APPEARANCES
or NOTICES OF CLAIM
Index No. ___________
IN REM ACTION No. ______ Serial No. ___________
_________________________ _
(Insert Property Address)
STATE OF NEW YORK
COUNTY OF ERIE ss:
, being duly sworn, deposes and says:
(Insert your name)
1. I reside at ,
(Street address) (Insert City / Town / Village;
and further allege that:
State; Zip Code)
2. I have submitted a Notice of Claim for Surplus Monies and make
this
Affidavit pursuant to RPAPL § 1361.
3. The following parties have appeared in the action:
, ;
(Name) (Address)
, ;
(Name) (Address)
, .
(Name) (Address)
4. The following parties have submitted a Notice of Claim in the action:
1
, ;
(Name) (Address)
, ;
(Name) (Address)
, .
(Name) (Address)
5. Attached are copies of liens against the property that remain unsatisfied.
6. All of the above-named parties have been served with my Notice of
Claim to Surplus Monies; a copy of the Notice was mailed first-class to the address above.
____________________________________
(Sign your name in the presence of a Notary Public)
____________________________________
(Print your name)
Sworn to before me this
day of , 20
Notary Public