Free template
Sworn Statement Template – New York
Formally declare facts under oath with this professional Sworn Statement Template.
Downloaded 2185 times
Download template
Sworn Statement
I, [Full Legal Name], of [Address], being duly sworn, do hereby declare and state under oath the following:
1. Declarant Information
Full Name: [Full Legal Name]
Date of Birth: [MM/DD/YYYY]
Address: [Full Address]
Contact: [Email / Phone]
2. Purpose and Context
This sworn statement is made for the purpose of [court/administrative/financial matter]. I understand it may be reviewed by decision‑makers in New York.
3. Relationship to Parties/Events
My connection to the subject matter is: [role/relationship]. This context explains how I came to know the facts described.
4. Statement of Facts (Ordered)
I present facts in a structured, numbered list for direct reference: [1)… 2)… 3)…].
5. Records Consulted
Where I rely on documents, I identify them briefly and attach copies when helpful. I believe these records are accurate and kept in the ordinary course of activity.
6. Media/Communications References
If relevant, I reference messages, emails, or postings and have preserved originals where possible for verification.
7. Declarant’s Affirmation
I affirm that my statements are made honestly and in good faith based on firsthand knowledge unless otherwise indicated.
8. Oath and Penalty Statement
I declare under oath and penalty of perjury that the foregoing is true and correct.
9. Execution
Executed on [Date] at [City, State/Country].
Declarant Signature: _______________________________
Printed Name: ___________________________________
Notary / Authorized Officer Acknowledgment
On this [Day] of [Month, Year], before me, [Name of Notary/Officer], personally appeared [Declarant’s Full Name], known to me (or satisfactorily proven) to be the individual who executed the foregoing Sworn Statement, and acknowledged it to be true and correct.
Notary / Officer Signature: __________________________
Printed Name: ____________________________________
Commission No.: _________________________________
My Commission Expires: ___________________________
No time to fill it up? Generate your custom agreement with AI Lawyer in seconds
Details
Learn more about
Sworn Statement Template – New York
New York Sworn Statement FAQ
What is a Sworn Statement?
A Sworn Statement is a written document in which a person formally declares that the information they are providing is true. It is commonly used in legal or official matters where factual accuracy is important — such as insurance claims, disputes, investigations, or court-related filings. The individual signs the statement and confirms that it is made under penalty of perjury, meaning they can face legal consequences if any part of it is knowingly false.
When to use a Sworn Statement?
A Sworn Statement is used when written, truthful testimony is needed without the person having to appear in court. It is commonly requested in situations such as insurance claims, workplace incidents, background checks, financial disclosures, property disputes, and law enforcement investigations. The statement serves as legally reliable evidence because the signer confirms the information under penalty of perjury, making it a suitable option when timely and documented facts are required.
What should be included in a Sworn Statement?
A Sworn Statement must clearly present truthful information and identify who is making the declaration. To ensure it is valid and useful, it should include:
The declarant’s full legal name and contact information:this confirms the identity of the person making the statement and provides a way to reach them if clarification is needed.
A clear and detailed statement of facts: the content should explain what happened, when, where, and who was involved. Facts must be specific, accurate, and based on personal knowledge rather than opinions.
Relevant dates, locations, and supporting context: including precise details strengthens credibility and helps avoid misunderstandings or disputes later.
A penalty-of-perjury declaration: this clause acknowledges that the declarant understands they can face legal consequences if the statement is false or misleading.
The declarant’s signature and the date of signing: signing confirms the statement is complete and truthful at the time of execution.
When does a Sworn Statement hold legal effect in New York?
A Sworn Statement in New York holds legal effect when it is signed and includes a declaration that the contents are true under penalty of perjury. Notarization is not required unless a court or agency requests a notarized affidavit instead. Once properly executed, it can be used as credible evidence in legal, employment, or administrative matters.
Is a witness required for a Sworn Statement to be valid?
No, a witness is not typically required for a Sworn Statement to be valid. Unlike an affidavit, a Sworn Statement does not need to be notarized or signed in front of an authorized official. It becomes valid once the individual signs it and includes a declaration that the information is true and made under penalty of perjury.
However, in some situations — such as workplace investigations, insurance claims, or legal disputes — having a witness signature may add credibility, even if it’s not legally required.
Similar templates
