ࡱ > v x u [ bjbjZYZY 7 83b83bO A J J 8 . . B B 4 v v v Q Q Q $ @ ! f 5 Q Q 5 5 v v M M M 5 R v v M 5 M M M v ݸT v M } 0 M \" \" M \" M 0 Q " s M Q Q Q l Q Q Q 5 5 5 5 \" Q Q Q Q Q Q Q Q Q J B : AFFIDAVIT UNDER SECTION 255 TAX LAW CONSOLIDATION, EXTENSION AND MODIFICATION AGREEMENT STATE OF NEW YORK ) )ss.: COUNTY OF ) _____________________________________________ being duly sworn, deposes and says: That ____________________________________________the owner and holder of the following mortgage, is familiar with the facts set forth herein: Mortgage made by ______________________________________ to___________ ________________________________in the original principal sum of $___________________ dated____________________________and recorded in the (Office of the Register of the City of New York), (Clerk of the County of______________) in Liber / Record / Reel___________ Page____________, on which a mortgage tax was paid in the amount of $_________________. That there is presently owing on said mortgage the principal sum of $___________________. That there have been no re-advances made on said mortgage. Mortgage made by ____________________________to______________________ in the principal sum of $_________________ dated ________________and recorded in the (Office of the Register of the City of New York), (Clerk of the County of____________) in Liber / Record / Reel _________________Page _____________, on which a mortgage tax was paid under Serial No. ______________________. That there is presently owing on said mortgage the principal sum of $______________________. That there have been no re-advances made on said mortgage. Mortgage made by__________________________________________ to ______________________________________________in the original principal sum of $_____________________________dated________________________________ and intended to be recorded simultaneously herewith and in connection with a mortgage tax in the sum of $________________________________is being paid. That_______________________________________ and ________________________ ______________________________ have entered into a consolidation and extension agreement dated____________________________ which consolidates the lien of the aforementioned mortgages into a single lien of $_____________________. The said consolidation and extension agreement which is herewith, tendered for record is given for the purpose of securing the unpaid principal indebtedness owing on the aforesaid mortgages, and said consolidation and extension agreement does not create or secure any new or further indebtedness or obligation other than the unpaid principal indebtedness in the sum of $________________ which is secured by the aforesaid mortgages or which under any contingency may be secured by the aforesaid mortgages. WHEREFORE, deponent respectfully requests that the consolidation and extension agreement herewith tendered for record be declared exempt for taxation pursuant to the provisions of Section 255 of Article 11 of the Tax Law of the State of New York. _______________________________ Sworn to before me this day of . _______________________________ Notary Public PAGE Page PAGE 2 of NUMPAGES 2 % 4 > O Y Z w x * B C V W N O F {q{q{q{q{q{a h] hLU OJ QJ \]^J h] 56\] h] hLU 56\] h] OJ QJ ^J h] hd OJ QJ ^J h] hLU OJ QJ ^J h] hd 6>*]h] hLU 6>*]h] hd 6] h] hLU CJ OJ QJ ^J h] hd CJ OJ QJ ^J h] hLU 6CJ ] h] hLU 6]" % Y Z [ z * u 1 O Q gd] $ a$ gd] d $a$ F G t u 8 9 O P R S U V X Y [ \ ] ^ _ e f g h i n o u v w ɿɿɿɿɿɿɿɷyl h] 0J mH nH u* j hd hd 0J Uhd hd 0J hLU hd hd 0J j hd 0J Uh] j h] Uh O j h O Uh] 56\] h] hLU 56\] h] hLU OJ QJ ^J h] hLU OJ QJ \]^J h] OJ QJ \]^J (Q R T U W X Z [ ] ^ g h i gd] $a$gdd &`#$gdLU w x | } h] hLU 56\] h O h] jA h] UhLU hd h] 0J mH nH u* j hd 0J Uj hd hd 0J Uhd hd 0J j hd hd 0J U* 5 01h:pd / =!"#$% A D d ' 6 3 A b @ k.3{H o@ D R ng@ k.3{HPNG IHDR sRGB pHYs j ?IDATx^}y8e?6̦Lj'cLR1fL(mۀ1 +Ʌ^9 Hq߿"D"@\y֝"@ PHD"@ ]"@ s"@ 8<w!@ Dt1@ D߅l D9 D#@:?|D"@HD"@ ]"@ s"@ 8<w!@ Dt1@ D߅l D9 D#@:?|D"@HD"@ ]"@ s"@ 8<w!@ Dt1@ D߅l D9 D#@:?|D"@HD"@ ]"@ s"@ 8<w!@ Dt1@ D߅l D9 D#@:?|D"@HD"@ ]"@ s"@ 8<w!@ DtxEy{}[_^_ Dg00}$JooO叇ϣ|s??=Pɲ ǿaK jq ESƤ^_GjaD ) 7~y#? =Ay?4mΑ) D @:syߟ~=2xLF">vR{(_?Ktwod"@nX\e!WaY1P2sP+jiQl eG[:i 7-*BFD[\rysX.OC4ׯ $D|R~K=B!]8oqč1f1\-1$@Z^zVQgo/b5-"D7ǧ'\ƝrA?D, 6
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