Fillable Printable Collateral Assignment of Leases and Rents - Section 255 Affidavit
Fillable Printable Collateral Assignment of Leases and Rents - Section 255 Affidavit
 
                        Collateral Assignment of Leases and Rents - Section 255 Affidavit

COLLATERAL ASSIGNMENT OF LEASES AND RENTS 
SECTION 255 AFFIDAVIT 
STATE OF                                   } 
COUNTY OF                               } ss. 
                                                             being duly sworn deposes and says: 
1. He is an attorney at law admitted to practice in the State of New York  with offices located at 
                                             New York and is acting as legal counsel to 
(the "Mortgagee") in connection with a mortgage loan tran saction between said Mortgagee and 
                                                   (the "Borrower") pertaining to premises known as 
                                               , in the city  
of                          , County of                               , and State of New York. 
2. The Borrower has appli ed to Mortgagee for a loan in the total princip al amou nt of 
3. Said loan will be evidenced by a certain Note fro m Mortgagor to Mortgag ee dated 
                                     and will be secured by a Mortgage and Security Agreement made by 
Mortgagor to Mortgagee covering the mortgaged property, dated                              , (the 
"Mortgage") ,which is inte nded to be recorded in the County Clerk's office prior to the recording of 
this Agreement. 
4. In connection with the fo regoing Mortgage and Security Agree ment there is herewith offered 
and presented to the Clerk of the County of a Collateral Assignment of Leases and Rents 
between said Mortgagor and Mortgagee dated                          , by which Mortgagee is assigned 
certain rights  in rents and other mon eys relating to the occupancy of the premi se s  encumbered 
by the aforesaid Mortgage and a s se curity collateral to such mo rtgage. 
5. Such Collateral Assignment of Leases and Rents neither creates nor secures any original, new 
or further prin cipal indebtedness or obligation in addition to or not already se cured by or which 
under any contingen cy may be secured by or which u nder any contingen cy may be secured by 
the aforesaid Mortgage. 
This affidavit is submitted to the Register/Clerk of                    County in support of the exemption 
of the foregoing Condition al Assignment of Lease s and Rents from he imposition or paymen t  of 
mortgage tax under Article 11 of the Tax Law pursuant to provisions of Section 255 of the Tax 
Law of the State of New York. 
______________________________ 
Sworn to before me this 
            day of                   , 200 
_______________________ 
 
             
    
