I am first duly sworn and state I am: Name. Nassau County Executor Deed Form.Fill in the blank form formatted to comply with all recording and content requirements. The distinction is important for estate accounting purposes particularly where a trust is an estate beneficiary and therefore estate income is ultimately. To report Emergency Rental Assistance Program fraud in New York State complete and submit the Emergency Rental Assistance Program Fraud Reporting Form. An affidavit of forgery is an official declaration that a fraudulent act was committed. It should be completed, notarized, and sent to notify institutions. Instructions on how to complete the "Forged Endorsement Affidavit".