Fillable Printable Collateral Mortgage - Section 255 Affidavit
Fillable Printable Collateral Mortgage - Section 255 Affidavit
![Collateral Mortgage - Section 255 Affidavit](/resources/formfile/images/10000/collateral-mortgage-section-255-affidavit-page1.png)
Collateral Mortgage - Section 255 Affidavit
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.
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Sworn to before me this
day of , 20
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