Form 8004 - Quitclaim Deed-Individual Or Corporation (Single Sheet) Page 2
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1
2Acknowledgement taken in New York State
Acknowledgement taken in New York State
State of New York, County of
, ss:
State of New York, County of
, ss:
On the
day of
, in the year
, before me,
On the
day of
, in the year
, before me,
the undersigned, personally appeared
the undersigned, personally appeared
personally known to me or proved to me on the basis of
personally known to me or proved to me on the basis of
satisfactory evidence to be the individual(s) whose name(s) is
satisfactory evidence to be the individual(s) whose name(s) is
(are) subscribed to the within instrument and acknowledged to
(are) subscribed to the within instrument and acknowledged to
me that he/she/they executed the same in his/her/their
me that he/she/they executed the same in his/her/their
capacity(ies), and that by his/her/their signature(s) on the
capacity(ies), and that by his/her/their signature(s) on the
instrument, the individual(s) or the person upon behalf of which
instrument, the individual(s) or the person upon behalf of which
the individual(s) acted, executed the instrument.
the individual(s) acted, executed the instrument.
Acknowledgement by Subscribing Witness taken in New
Acknowledgement taken outside New York State
York State
State of New York, County of
, ss:
*State of_____________, County of,
ss:
*(or insert District of Columbia, Territory, Possession or
Foreign Country)
On the
day of
, in the year
, before me,
the undersigned, personally appeared
On the
day of
, in the year
, before me,
the undersigned, personally appeared
the subscribing witness to the foregoing instrument, with whom I
am personally acquainted, who being by me duly sworn, did
personally known to me or proved to me on the basis of
depose and say, that he/she/they reside(s) in
satisfactory evidence to be the individual(s) whose name(s) is
(are) subscribed to the within instrument and acknowledged to me
that he/she/they know(s)
that he/she/they executed the same in his/her/their capacity(ies),
to be the individual described in and who executed the
and that by his/her/their signature(s) on the instrument, the
foregoing instrument; that said subscribing witness was
individual(s) or the person upon behalf of which the individual(s)
present and saw said
acted, executed the instrument, and that such individual made
execute the same; and that said witness at the same time
such appearance before the undersigned in the
subscribed his/her/their name(s) as a witness thereto.
(add the city or political subdivision and the sate or country or
other place the acknowledgement was taken).
DISTRICT
Title No.:
SECTION
BLOCK
LOT
TO
COUNTY OR TOWN
RETURN BY MAIL TO:
Distributed By:
CB Title Group, LLC.
140 Mountain Avenue, Suite 101
Springfield, NJ 07081
Zip No.
973.921.0990
973.921.0902
And
title insurance company
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