Reverse Mortgage Affidavit Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Reverse Mortgage Affidavit Form. This is a New York form and can be use in Real Estate Statewide.
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Tags: Reverse Mortgage Affidavit, New York Statewide, Real Estate
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
delivered to
located at
Block
County of
,
executed and
a mortgage for property
and known as Tax Lot
on the Tax Map of
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
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