Affidavit Of Lost Note - State Of New York

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AFFIDAVIT OF LOST NOTE
STATE OF NEW YORK
COUNTY OF __________________
_________________________________________________________________
(name of affiant)
personally appeared before me in __________________ County, State of __________________
and having been duly sworn (or affirmed) made the following affidavit:
1. The affiant is the owner of the note or other indebtedness secured by the deed of trust,
mortgage or other instrument executed by
____________________________________________________
to
(Grantor/Mortgagor)
____________________________________________________________
(Trustee),
and __________________________________________
and
(Beneficiary/Mortgagee)
recorded in ___________________ County at Book ____________ Page
______________;
2. The note or indebtedness has been lost and after the exercise of due diligence cannot
be located.
3. The affiant certifies that all indebtedness secured by the Deed of Trust, Mortgage or
other instrument has been satisfied and the affiant is responsible for cancellation of
the same.
__________________________________ (Seal)
Sworn and subscribed before me this ________ day of __________________, 20_____.
_______________________________________
Notary Public

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