Standard N.Y.B.T.U. Form 8012 – Bond.  Uniform Acknowledgment

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

KNOW ALL MEN BY THESE PRESENTS, 

That

hereinafter designated as the obligor, does hereby acknowledge the obligor to be justly indebted to

hereinafter designated as the obligee, in the sum of
dollars,

lawful money of the United States, which sum said obligor does hereby

covenant to pay the said obligee, and the executors, administrators, successors or assigns of the obligee,

with interest thereon to be computed from the date hereof at the rate of                         per centum per annum 

and to be paid on the		day of				,		, next ensuing and

			thereafter

IT IS HEREBY EXPRESSLY AGREED, that the said principal sum shall at the option of the obligee become due on the happening of any default or event by which, under the terms of the mortgage securing this bond, said principal sum may or shall become due and payable; also, that all of the covenants, conditions and agreements contained in said mortgage are hereby made part of this instrument.

This bond may not be changed or terminated orally.  The word “obligor” or “obligee” shall be construed as if it read “obligors” or “obligees” whenever the sense of this instrument so requires.

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)	

Title No.

Loan No.
Address

TO

Bond

$
Dated				, 		.
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS

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