255 AFFIDAVIT FOR CONSOLIDATION

and/or EXTENSION AGREEMENT

STATE OF ______}
COUNTY OF ______} ss.

______being duly sworn, deposes and says:

That he is attorney for ______("Owner"), owner of the premises encumbered by the mortgages hereinafter described, which is a lien on premises situated at ______("Premises") which mortgages are held by ______("Mortgagee").

1. Mortgage dated ______made by Owner to ______in the principal amount of $ ______recorded in the Office of the Register/County Clerk, ______County ("Register") on ______in Reel/Liber _____ page _____ , on which mortgage tax was paid in the sum of $ ______;

2. Mortgage dated ______made by Owner to ______in the principal amount of $ ______recorded in the Office of the Register/County Clerk on ______in Reel/Liber ______page ______, which mortgage was a Substitute Mortgage resulting from the severance of the mortgages described on Schedule A hereto.

Said Mortgage was released from other premises by a Release made by ______by a Release dated ______and recorded ______in the Office of the Register/County Clerk in Reel/Liber ______page ______, and assigned to ______by an Assignment made by ______dated ______and recorded ______in the Office of the Register/County Clerk in Reel ______page _____ .

Mortgages 1 and 2, above, were consolidated into a single lien of $ ______by a Consolidation Agreement made by Owner and ______dated ______and recorded ______in Reel/Liber ______page ______, and assigned by ______to Mortgagee which consolidated mortgages there remains unpaid the principal amount of $ ______.

3. Mortgage dated ______made by Owner to Mortgagee in the principal amount of $ ______to be recorded prior hereto in the office of the Register/County Clerk of ______County, on which mortgage tax was paid in the sum of $ ______.

That the Mortgage Consolidation, Extension and Modification Agreement ("Consolidation Agreement") dated ______executed by Owner and Mortgagee tendered for recording is given for the purpose of further securing the same principal indebtedness and said consolidation and/or extension agreement does not create or secure any new or further indebtedness or obligation other than the principal indebtedness secured by said mortgage. That there have been no reloans or readvances on said mortgages.

WHEREFORE, deponent respectfully requests that the Consolidation Agreement tendered herewith for recording be declared exempt from taxation pursuant to the provisions of Section 255 of Article 11 of the Tax Law of the State of New York.

Sworn to before me this
_____ day of ______, 20__

______

- Notary Public

255 AFFIDAVIT FOR CONSOLIDATION

and/or EXTENSION AGREEMENT

STATE OF ______}
COUNTY OF ______} ss.

______being duly sworn, deposes and says:

That he is a Vice-President of ______, the holder of the mortgage hereinafter described, which is a lien on premises situated at ______, New York, New York.

That the mortgages held by the undersigned are (1) in the original principal sum of
$ ______, made by ______to ______and recorded ______in Reel/Liber ______at page _____ in the office of the Register/County Clerk, County of New York on which the mortgage tax was paid in the sum of $ ______was paid, and (2) in the original principal sum of $ ______2 made by ______to ______and recorded in the Office of said Register/County Clerk on ______in Reel/Liber ______at page ______on which mortgage tax was paid in the sum of $ ______;

which mortgages were consolidated by Agreement dated ______made by and between ______and ______recorded on
______in Reel/Liber ______at page ______to form a single lien of $ ______, and assigned to ______by assignment dated ______recorded prior hereto in the office of said Register/County Clerk;

That there is presently owing on said mortgages the principal sum of $ ______.

That ______, the record owner of the said property and the undersigned have entered into a Agreement dated ______, which Agreement is intended to be recorded in the said Office of the Register/County Clerk ______County simultaneously herewith.

That the Agreement herewith tendered for recording is given for the purpose of further securing the same principal indebtedness and said Agreement does not create or secure any new or further indebtedness or obligation other than the principal indebtedness secured by said mortgage. That there have been no reloans or readvances on said mortgage.

WHEREFORE, deponent respectfully requests that the consolidation and/or extension agreement tendered herewith for recording be declared exempt from taxation pursuant to the provisions of Section 255 of Article 11 of the Tax Law of the State of New York.

______

Sworn to before me this
_____ day of ______, 20___

______

Notary Public