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UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF NEW YORK x In Re:, Chapter: Case No.:Debtor. X, Plaintiff, Adv. Pro. No.:against, Defendant. X AFFIDAVIT AND DISCLOSURE STATEMENT OF MEDIATOR STATE
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Obtain the correct affidavit and disclosure statement form.
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Fill in your personal information accurately such as your name, address, phone number, and email.
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Provide all necessary details regarding the matter at hand in a clear and concise manner.
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Sign and date the affidavit and disclosure statement in the presence of a notary public or other authorized individual.
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Make a copy of the completed form for your records before submitting it to the relevant party.

Who needs affidavit and disclosure statement?

01
Individuals involved in legal proceedings
02
Employees required to disclose information to their employer
03
Applicants for licenses or permits
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Anyone involved in a contract or agreement that requires disclosure
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An affidavit is a written statement confirmed by oath or affirmation, used as evidence in court. A disclosure statement is a document that provides detailed information regarding one's financial interests or relationships to ensure transparency.
Individuals in positions of authority or those who are required by law to disclose their financial interests, often including government officials, candidates for office, and certain professionals.
To fill out the affidavit and disclosure statement, individuals should gather necessary financial information, provide accurate and complete responses to all questions on the form, and sign it under oath in front of a notary or other authorized official.
The purpose is to promote transparency and accountability by ensuring individuals disclose relevant financial interests and affiliations that may influence their decision-making.
Information typically includes income sources, assets, debts, financial interests, positions held in organizations, and relationships that could present conflicts of interest.
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