Fillable Printable Affidavit of Exemption - Section 253 (1-a)
Fillable Printable Affidavit of Exemption - Section 253 (1-a)
Affidavit of Exemption - Section 253 (1-a)
AFFIDAVIT OF EXEMPTION
SECTION 253 (1-a)
State of New York )
) SS.:
County of )
_____________________________, being dul
y sworn, desposes and says:
The undersigned is the (Attorney for the) owner and holder of the
hereinafter described mortgage, and is fully familiar with the fact
s set forth
herein.
That the mortgage offered for recording dated day of
, made by
to
That the mortgagee(s) is(are) a natural person or persons and the
mortgaged premises consists of real property improved by a structure
containing six residential dwelling units or less, each with separate cooking
facilities.
WHEREFORE, your deponent respectfully requests that the mortgage
offered for recording herein be exempted from the special additional
mortgage recording tax set forth in Section 253 (1-a) of the tax law.
_____________________________
Sworn to before me
This day of ,
____________________________
