Collateral Mortgage - Section 255 Affidavit - Edit, Fill, Sign Online

COLLATREAL MORTGAGE

SECTION 255 AFFIDAVIT

STATE OF

COUNTY OF ss.

, being duly sworn, deposes and says:

1. That he resides at , and that he is an office, to wit ,

of having its principal office at

2. That said is the owner and holder of a mortgage made by

to to secure the payment of the

principal sum of $ dated and recorded in the Office of the

Register/Clerk of the county of in Reel/Liber of

Mortgages at page covering premises ,

which mortgage there is now unpaid the sum of $ , the mortgage tax thereon

having been paid under Serial No. .

3. That as further and additional security for the payment of the said indebtedness mentioned in and

secured by the above mentioned mortgage, executed and delivered to

a certain indenture of mortgage, dated, covering premises known as

, which said collateral mortgage is herewith

offered for record in the Office of the Register/Clerk of the County of .

4. That the said additional indenture is given for the purpose of further securing the same principal

indebtedness which is or under any contingency may be secured by the above mentioned primary

mortgage and that such additional and collateral mortg age does not create or secure and new or

further indebtedness or obligation other than the principal indebtedness or obligation secured by

or which under and contingency may be secured by the said primary mortgage.

Wherefore, deponent respectfully requests that such additional mortgage may be declared exempt from

taxation pursuant to Section 255 of Article XI of the Tax Law of the State of New York.

_______________________________________

Sworn to before me this

day of , 20

_______________________________________

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