N.Y. Penal Law § 210.45: Making a punishable false written statement

§ 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.