Free Hold Harmless Agreement Template 30
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HOLD HARMLESS AFFIDAVIT
TITLE NO. ______________________
STATE OF NEW YORK
COUNTY OF

ss:

I. ______________________________________________________________________________________________________
THE UNDERSIGNED, DO HEREBY AGREE TO HOLD ________________________________________________________
HARMLESS FROM AND TO INDEMNIFY THEM FOR ANY LOSS, COST OR DAMAGE ARISING BY VIRTUE OF THEIR
OMMITING THE FOLLOWING EXCEPTIONS:

_______________________________________________
_______________________________________________
_______________________________________________

SWORN TO BEFORE ME THIS
______ DAY OF _____________ 1998

___________________________________