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2014 New York Laws
PEN - Penal
Part 3 - SPECIFIC OFFENSES
Title L - OFFENSES AGAINST PUBLIC ADMINISTRATION
Article 210 - (210.00 - 210.50) PERJURY AND RELATED OFFENSES
210.45 - Making a punishable false written statement.

NY Penal L § 210.45 (2014) What's This?
210.45 Making a punishable false written statement.

A person is guilty of making a punishable false written statement when
  he  knowingly  makes  a false statement, which he does not believe to be
  true, in a written instrument bearing a legally authorized  form  notice
  to the effect that false statements made therein are punishable.

Making a punishable false written statement is a class A misdemeanor.

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