N.Y. Comp. Codes R. & Regs. tit. 13, § 80.15
(a) Within four months after the close of the fiscal year of all issuers which have made or were required to make a filing with the Department of Law pursuant to the New York Intrastate Financing Act, there shall be submitted to the Department of Law and to all persons then owning the securities of the issuer an annual report containing the following:
(b) Where because of an exemption issued by the Attorney General or otherwise the annual report as submitted to the Attorney General does not contain an unqualified statement of an independent public accountant that he has conducted an examination in accordance with generally accepted auditing standards and that in his opinion the statements fairly present the financial position of the company and the operating results of the company in accordance with generally accepted accounting principles consistently applied, such report to the Attorney General shall contain an original notarized statement signed by each and every officer, director and principal of the issuer stating as follows:
"State of New York )
) SS.:
County of )
The undersigned, being duly sworn, deposes and says that the attached financial statements are true and correct except (indicate either ‘no exceptions’ or specifics of any reservations about the accuracy of the statements and the reasons thereof).
(signature)
Printed name and title
Sworn to before me this
day of , 19
(Signature of notary)
Notary stamp”
Copies of each of the aforesaid statements shall be attached to the annual report forms submitted to all investors. Unless an exemption has been issued, the filing of such notarized statement should not be construed as compliance with section 359-ff and these regulations.