|AFFIDAVIT UNDER SECTION 253 TAX LAW
To be signed by Mortgagee or Attorney for Mortgagee Only
STATE OF NEW YORK )
) ss.: Title #
COUNTY OF SUFFOLK )
being duly sworn, deposes and says that he is the (Attorney for the) owner and holder of the hereinafter described mortgage, and is familiar with the facts set forth herein.
That said mortgage was made by
in the principal sum of $ ,
which mortgage is dated and is being presented for recording in the .
That the mortgagee(s) (is a) (are) natural person(s) and that the mortgaged premises consists of real property improved by a structure containing six residential dwelling units or less, each with separate cooking facilities.
WHEREFORE, deponent respectfully requests that said mortgage be declared exempt from the Special Additional Tax pursuant to Subdivision 1A of Section 253 of the Tax Law which provides that any private individual (natural person) lending money is exempt from paying % - Special Additional Tax on real property consisting of six (6) residential units or less.
Sworn to before me this
day of ,20