Mortgage Tax Credit Affidavit Page 3
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5. Special Additional
(Unit Mtg Amt x .25%)
No Credit Allowed
Special Addtl Tax Due
Tax
$
$
6. Total Tax Due
Tax Due From Mortgagee:
(C5)
$
From Mortgagee
Total Mtg Tax to CITY REGISTER:
(C4 + C6)
$
Total Unit Mtg Tax PRE-CREDIT:
(Unit Mtg Amt x 2.05%- $30.00*)
$
Total Mtg Tax CREDIT TO SPONSOR:
$
(Total Tax Pre-Credit- Total Tax to City Register)
*Note: $30 credit applies to condominium and 1-2 family residential property where loan is $10,000 or more.
Note: A negative number in Column C should be stated as zero.
Wherefore, your deponent respectfully requests that the purchase money mortgage submitted herewith be
declared exempt from taxation to the extent of $_________________ pursuant to §339ee(2) of the New York
Real Property Law and that said mortgage be accepted for recording upon the payment of the sum of
$_________________ tendered herewith.
_______________________________________
[Signature]
_______________________________________
[Printed Name and Title]
STATE OF NEW YORK
}
}ss
COUNTY OF_____________}
On the _______ day of __________, 20____, 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 within instrument and acknowledged 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.
_________________________________________
Notary Public
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