State: New York
Owner’s Estoppel Certificate
Form 8037 (3/00) – Owner’s Estoppel Certificate.
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT – THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY.
THE UNDERSIGNED, owning premises situate in
covered by the following mortgage:
Mortgage for dated the day of ,
and recorded in in the office of the of County
which mortgage is about to be assigned by the holder thereof 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 is a valid lien on said premises for the full amount of principal and interest now owing thereon, namely, dollars, and interest thereon at per centum from the day of , .
and that there are no defenses or offsets to said mortgage or to the bond or note secured thereby, and that all the other provisions of said bond or note and mortgage are in force and effect.
DATED the day of , .
IN PRESENCE OF:
ACKNOWLEDGEMENT TAKEN 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.
ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS TAKEN
IN NEW YORK STATE
State of New York, County of , ss:
On the day of in the year
, before me,
the undersigned, a Notary Public in and for said State, personally
appeared
,
the subscribing witness to the foregoing instrument, with whom I am
personally acquainted, who, being by me duly sworn, did depose and say
that he/she/they reside(s) in
(if the place of residence is in a city, include the street and street number if any, thereof);that
he/she/they know(s)
to be the individual described in and who executed the foregoing
instrument; that said subscribing witness was present and saw said
execute the same; and that said witness at the same time subscribed
his/her/their name(s) as a witness thereto
ACKNOWLEDGEMENT TAKEN 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.
ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK STATE
*State of , County of , ss:
*(Or insert District of Columbia, Territory, Possession or Foreign County)
On the day of in the year , before me, the undersigned, personally appearedOWNERS ESTOPPEL CERTIFICATE
TITLE NO.
SECTION
BLOCK
LOT
COUNTY or TOWN
MISC NY: OWNERS ESTOPPEL CERTIFICATE
