IMPORTANT: In order to resolve your complaint, we may send a copy of this form to the parties you have named.
In filing this complaint, I understand that the Attorney General is not my private attorney, but represents the public in enforcing laws
designed to protect the public from misleading or unlawful business practices. I also understand that if I have any questions concerning my
legal rights or responsibilities, I should contact a private attorney. I have no objection to the contents of this complaint being forwarded to
the landlord the complaint is directed against. The above complaint is true and accurate to the best of my knowledge.
I also understand that any false statements made in this complaint are punishable as a Class A Misdemeanor under Section 175.30 and/or
Section 210.45 of the Penal Law.
DATE:
TENANT'S SIGNATURE:
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