N.Y. Comp. Codes R. & Regs. tit. 5, § 160.4
(b) The linked deposit application shall require such information as the commissioner shall deem necessary and shall be in as simple a form as possible. It shall elicit, but not be limited to, the following:
(c) The application shall contain the following certifications:
(1) a lender's certification to the effect that:
(2) a borrower's certification to the effect that: