Fillable Printable Reverse Mortgage Affidavit - New York
Fillable Printable Reverse Mortgage Affidavit - New York
Reverse Mortgage Affidavit - New York
REVERSE MORTGAGE AFFIDAVIT
State of New York )
) ss.
County of ____________)
, being duly sworn deposes and
says:
1. I am the
of
, the owner and
holder of the mortgage which is being submitted for recording. I am fully
familiar with the facts set forth herein.
2) On , executed and
delivered to a mortgage for property
located at and know as Tax Lot
Block on the Tax Map of the of
County of , State of New York in the amount of $
3) The mortgage is a reverse mortgage and complies with the
provisions of Section 280 (280A) of the Real Property Law.
4) The mortgagor (s) is (are) over the age of 60 (70) and he/she/they
occupy the property as his/her/their principal residence.
5) The mortgage is on real property improved by a one-to-four family
dwelling or a condominium unit.
6) The deponent respectfully requests that this reverse mortgage
tendered herewith for recording be declared exempt from taxation pursuant
to the provisions of Section 252-A(2) of Article 11 of the Tax Laws of the
State of New York
_____________________________
Sworn to before me this ______ day
Of ____________ 20___
_________________________
Notary Public
