’WPCN "į#ēŸYNĻįī'™OQæJv.fŌŲ“Ģ®WüŚ!ŃįX¢“?˜Į 2„בXą&“ø=ūź'S±™u8öKYüīˆ]”“¢:ŪÖ'ÓįĆhhįæC Ō¬>ĻåN»""üų»w•é!·²Ö$Ć %aįh×S·ŒøeŸēuÕR@€ō«Œ4 ¾ės*½?,ž0|³‰ˆÄØūėē#TˆØś;oĀĘJ_<‘®t½Ęņ zFŒćßĀv÷ĆgūŅV½ĶąļpwT“ŽSŽÄČ>[ē?[ƒē\Ō·æN;…Õń6|€Nø"£u&#É ģ®.^ōģ’ńĄMU*sz\øBł}OĄ®’Aƙ¦5L×9yi¶O¾M5–V¹łŚFHōŌW%ܐøoū ÅQz{ōƒ€<µØVƒw±\æéF#‹Ņ)Œż‘!”Š>,8čćÄÓkx`‘Ąśāłœaˆeż:0‹5ljŸˆAuŻ8léV Ø#ÉøUN %Ļ 0:ÕN^ w4!5 m7#|x˜EPSON Stylus COLOR 3000Œ”ŒŒŒŒŒ”0(  Z‹6Times New Roman RegularX(üœ$””ŌUSUS.,Ō›|2ø ‚¢Œ/ź:i¢×+00’U‹’ĄĄĄŻ ƒüœ!ŻŌUSUS.,ŌŻ  ŻŌ_Ō255€AFFIDAVIT€FOR€CONSOLIDATIONŠ ° Šand/or€EXTENSION€AGREEMENTŠ ķ ŠSTATE€OF€_____________€}Š ŠŚ ŠCOUNTY€OF€___________€}€ss.Š wĒ ŠĢ_____________________€being€duly€sworn,€deposes€and€says:Š Q ” ŠThat€he€is€attorney€for€__________________________€("Owner"),€owner€of€the€premisesŠ > Ž Šencumbered€by€the€mortgages€hereinafter€described,€which€is€a€lien€on€premises€situated€atŠ + { Š_____________________________€("Premises")€which€mortgages€are€held€byŠ  h Š_________________________€("Mortgagee").Š  U  Š1.€Mortgage€dated€____________€made€by€Owner€to€________________€in€the€principalŠ ņ B  Šamount€of€$€___________€recorded€in€the€Office€of€the€Register/County€Clerk,€________Š ß/  ŠCounty€("Register")€on€__________€in€Reel/Liber€_____€page€_____€,€on€which€mortgage€taxŠ Ģ  Šwas€paid€in€the€sum€of€$€_________€;Š ¹  Š2.€Mortgage€dated€________€made€by€Owner€to€_____________________€in€the€principalŠ ¦ö  Šamount€of€$€_____________€recorded€in€the€Office€of€the€Register/County€Clerk€on€_________Š “ć  Šin€Reel/Liber€________€page€______€,€which€mortgage€was€a€Substitute€Mortgage€resultingŠ €Š Šfrom€the€severance€of€the€mortgages€described€on€Schedule€A€hereto.Š m½ ŠSaid€Mortgage€was€released€from€other€premises€by€a€Release€made€by€_________€by€a€ReleaseŠ ZŖ Šdated€__________€and€recorded€_________€in€the€Office€of€the€Register/County€Clerk€inŠ G— ŠReel/Liber€_______€page€______€,€and€assigned€to€___________________€by€an€AssignmentŠ 4„ Šmade€by€____________€dated€__________€and€recorded€________€in€the€Office€of€theŠ !q ŠRegister/County€Clerk€in€Reel€______€page€_____€.Š ^ ŠMortgages€1€and€2,€above,€were€consolidated€into€a€single€lien€of€$€_________________€by€aŠ ūK ŠConsolidation€Agreement€made€by€Owner€and€_______________________€dated€__________Š č8 Šand€recorded€__________€in€Reel/Liber€______€page€_______€,€and€assigned€byŠ Õ% Š______________________€to€Mortgagee€which€consolidated€mortgages€there€remains€unpaidŠ Ā Šthe€principal€amount€of€$€______________€.Š Æ’ Š3.€Mortgage€dated€___________€made€by€Owner€to€Mortgagee€in€the€principal€amount€of€$Š œģ Š_____________€to€be€recorded€prior€hereto€in€the€office€of€the€Register/County€Clerk€ofŠ ‰Ł Š_________€County,€on€which€mortgage€tax€was€paid€in€the€sum€of€$€_________€.€Š v Ę ŠThat€the€Mortgage€Consolidation,€Extension€and€Modification€Agreement€("ConsolidationŠ c!³ ŠAgreement")€dated€__________€executed€by€Owner€and€Mortgagee€tendered€for€recording€isŠ P"   Šgiven€for€the€purpose€of€further€securing€the€same€principal€indebtedness€and€said€consolidationŠ =#! Šand/or€extension€agreement€does€not€create€or€secure€any€new€or€further€indebtedness€orŠ *$z" Šobligation€other€than€the€principal€indebtedness€secured€by€said€mortgage.€That€there€have€beenŠ %g # Šno€reloans€or€readvances€on€said€mortgages.Š &T!$ ŠWHEREFORE,€deponent€respectfully€requests€that€the€Consolidation€Agreement€tenderedŠ ń&A"% Šherewith€for€recording€be€declared€exempt€from€taxation€pursuant€to€the€provisions€of€SectionŠ Ž'.#& Š255€of€Article€11€of€the€Tax€Law€of€the€State€of€New€York.Š Ė($' ŠSworn€to€before€me€this€Š ø)%( Š_____€day€of€________€,€200€__Š „*õ%) Š_________________________Š ’+ā&* Š-€Notary€PublicŠ ,Ļ'+ ŠŠ l-¼(, ЇĢĢĢĢ255€AFFIDAVIT€FOR€CONSOLIDATIONŠ d“ Šand/or€EXTENSION€AGREEMENTŠ Q ” ŠSTATE€OF€_____________€}Š > Ž ŠCOUNTY€OF€___________€}€ss.Š + { Š____________________________€being€duly€sworn,€deposes€and€says:Š  h ŠThat€he€is€a€Vice-President€of€_______________________€,€the€holder€of€the€mortgageŠ  U  Šhereinafter€described,€which€is€a€lien€on€premises€situated€at€______________________€,€NewŠ ņ B  ŠYork,€New€York.Š ß/  ŠThat€the€mortgages€held€by€the€undersigned€are€(1)€in€the€original€principal€sum€of€Š Ģ  Š$€____________€,€made€by€____________________€to€___________________________€andŠ ¹  Šrecorded€________€in€Reel/Liber€______€at€page€_____€in€the€office€of€the€Register/CountyŠ ¦ö  ŠClerk,€County€of€New€York€on€which€the€mortgage€tax€was€paid€in€the€sum€of€$€___________Š “ć  Šwas€paid,€and€(2)€in€the€original€principal€sum€of€$€_____________€2€made€byŠ €Š Š____________________€to€_______________€and€recorded€in€the€Office€of€saidŠ m½ ŠRegister/County€Clerk€on€_________€in€Reel/Liber€______€at€page€_______€on€which€mortgageŠ ZŖ Štax€was€paid€in€the€sum€of€$€_____________€;Š G— Šwhich€mortgages€were€consolidated€by€Agreement€dated€____________€made€by€and€betweenŠ 4„ Š_____________________€and€_____________________€recorded€on€Š !q Š___________€in€Reel/Liber€_______€at€page€_________€to€form€a€single€lien€of€$Š ^ Š_____________€,€and€assigned€to€_______________________€by€assignment€dated€__________Š ūK Šrecorded€prior€hereto€in€the€office€of€said€Register/County€Clerk;Š č8 ŠThat€there€is€presently€owing€on€said€mortgages€the€principal€sum€of€$€______________€.€Š Õ% ŠThat€___________________€,€the€record€owner€of€the€said€property€and€the€undersigned€haveŠ Ā Šentered€into€a€Agreement€dated€___________€,€which€Agreement€is€intended€to€be€recorded€inŠ Æ’ Šthe€said€Office€of€the€Register/County€Clerk€___________€County€simultaneously€herewith.Š œģ ŠThat€the€Agreement€herewith€tendered€for€recording€is€given€for€the€purpose€of€further€securingŠ ‰Ł Šthe€same€principal€indebtedness€and€said€Agreement€does€not€create€or€secure€any€new€or€furtherŠ v Ę Šindebtedness€or€obligation€other€than€the€principal€indebtedness€secured€by€said€mortgage.€ThatŠ c!³ Šthere€have€been€no€reloans€or€readvances€on€said€mortgage.Š P"   ŠWHEREFORE,€deponent€respectfully€requests€that€the€consolidation€and/or€extensionŠ =#! Šagreement€tendered€herewith€for€recording€be€declared€exempt€from€taxation€pursuant€to€theŠ *$z" Šprovisions€of€Section€255€of€Article€11€of€the€Tax€Law€of€the€State€of€New€York.Š %g # Š______________________________________Š &T!$ ŠSworn€to€before€me€this€Š ń&A"% Š_____€day€of€____________€,€200___Š Ž'.#& ŠĢ______________________________Š ø)%( ŠNotary€PublicŠ „*õ%) ŠĢ