Form 8011 (3/00) Mortgage Note. Individual or Corporation.(Straight or Installment.) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. MORTGA GE NO TE $ New York, ,FOR VALUE RECEIVED, promise o pay tot or order, at or at such other place as may be designated in writing by the holder of this note, the principal sum of Dollars on with interest thereon to be computed from the date hereof, at the rate o f per centum per annumand to be paid on the day of , next ensuing andIT IS HEREBY EXPRESSL Y AGREED, that the said principal sum secured by this note shall become due atthe option of the holder thereof on the happening of any default or even t by which, under the terms of the mortgagesecuring this note, said principal sum may or shall become due and payab le; also, that all of the covenants,conditions and agreements contained in said mortgage are hereby made par t of this instrument. Presentment for payment, notice of dishonor , protest and notice of protest are hereby waived. This note is secured by a mortgage made by the maker to the payee of eve n date herewith, on property situate in the This note may not be changed or terminated orally . ___________________________________________________________>>>> 2 Acknowledgement taken in New York State Acknowledgement taken in New York State State of New York, County of , ss: State of New York, County of , ss: On the day of , in the year , before me, On the day of , in the year , before me, the undersigned, personally appeared the undersigned, personally appeared personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s) or the person upon behalf of which instrument, the individual(s) or the person upon behalf of which the individual(s) acted, executed the instrument. the individual(s) acted, executed the instrument. Acknowledgement by Subscribing Witness taken in New Acknowledgement taken outside New York State York State State of New York, County of , ss: *State of_____________, County of, ss: *(or insert District of Columbia, Territory, Possession or Foreign Country) On the day of , in the year , before me, the undersigned, personally appeared On the day of , in the year , before me, the undersigned, personally appeared the subscribing witness to the foregoing instrument, with whom I am personally acquainted, who being by me duly sworn, did personally known to me or proved to me on the basis of depose and say, that he/she/they reside(s) in satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they know(s) that he/she/they executed the same in his/her/their capacity(ies), to be the individual described in and who executed the and that by his/her/their signature(s) on the instrument, the foregoing instrument; that said subscribing witness was individual(s) or the person upon behalf of which the individual(s) present and saw said acted, executed the instrument, and that such individual made execute the same; and that said witness at the same time such appearance before the undersigned in the subscribed his/her/their name(s) as a witness thereto. (add the city or political subdivision and the sate or country or other place the acknowledgement was taken). Title No.: SECTION BLOCK LOT TO COUNTYOR TOWN RETURN BY MAIL TO: Zip No. CE FOR USE OF RECORDING OFFICEATHIS SPVE RESER