Lienor’s Estoppel Certificate – Uniform Acknowledgment

CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY

THE UNDERSIGNED, holding a  	     		for $			and interest made by			
to
					     
dated the               day of                                       ,                      ,
Register
Clerk

recorded on the		   day of				        ,	              , in the Office of the                         

of  the County of				, in Liber/Reel		of Mortgages, Page	                   ,

covering premises in the County of						State of New York

covered by a mortgage for $		             , dated the	    day of 	                   ,                         , 
Register
Clerk

and recorded on the 		day of			    ,                 , in the Office of the of the County of 			in Liber/Reel		of Mortgages, Page	               , which mortgage is about to be assigned by the holder,
to
DO   hereby certify, in consideration of the sum of One Dollar paid, the receipt whereof is hereby acknowledged, and to enable said assignment to be made and accepted, that said mortgage   so to be assigned is  prior  in  lien  for  the  full  amount  of  principal  and  interest  now  owing  thereon,  namely,
$                           and interest thereon at                per centum per annum from                             	   ,	      , to the interest or lien held by the undersigned, and that there are no defenses or offsets to said mortgage   or      to the bond    or note  secured thereby so to be assigned, so far as the undersigned is concerned; and the undersigned consents that the time for the payment of the indebtedness secured by said mortgage so to be assigned, may be extended to 				         with interest thereon at the rate of 	      
per centum per annum.

DATED the		day of			                           ,                            .

IN PRESENCE OF:

							______________________________________	

______________________________________

							______________________________________

TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE	
		
State of New York, County of		               ss:

On the           day of                                in the year
before me, the undersigned, personally appeared

personally known to me or proved to me on the basis of 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 executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument.

___________________________________________________
(signature and office of individual taking acknowledgment)	State of New York, County of		               ss:

On the           day of                                 in the year
before me, the undersigned, personally appeared

personally known to me or proved to me on the basis of 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 executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument.

__________________________________________________
(signature and office of individual taking acknowledgment)	

	
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE	

State (or District of Columbia, Territory, or Foreign Country) of 								ss:

On the                       day of                                             in the year                        before me, the undersigned, personally appeared

Personally known to me or proved to me on the basis of 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 executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument, and that such individual made such appearance before the undersigned in the

_________________________________________ in ____________________________________________________________.
       (insert the City or other political subdivision)	  (and insert the State or Country or other place the acknowledgment was taken)

_______________________________________________________
(signature and office of individual taking acknowledgment)	
	
Lienor’s Estoppel Certificate

Title No.  ________________________________

SECTION
BLOCK
LOT
COUNTY OR TOWN
STREET ADDRESS

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