ANCIENT MORTGAGE AFFIDAVIT
State of New York
County of ________
I, _________________________, being duly sworn, depose and state the following to be true under the penalty of perjury:
1. I am the owner of the property located at: _____________________________________ (the “Premises”)
2. The mortgagor of a mortgage affecting the Premises which is recited in Liber/Reel ________ at Page _______ is a prior owner.
3. The amount of the mortgage recorded in Liber/ Reel ________ at Page _______ is $25,000.00 or less and which mortgage has matured over 12 years.
4. No demand for payment has been made by the mortgagee or assignees.
5 I make this statement knowing full well that ___________________, as agents for Stewart Title Insurance Company relies on the accuracy thereof for the purposes of issuing its policy of title insurance free and clear of the aforesaid.
State of New York )
County of ____________ )
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 acknowledge 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.
No guidelines are available for this form at this time.