USE ACKNOWLEDGMENT FORM BELOW WITHIN NEW YORK STATE ONLY:
State of New York, County of } ss.:
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 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.
A
CKNOWLEDGMENT FORM FOR USE WITHIN NEW YORK STATE ONLY:
{New York Subscribing Witness Acknowledgment Certificate}
State of New York, County of } ss.:
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 depose and
say that he/she/they reside(s) in
(if the place of residence is in a city, include the street and street number,
if any, thereof); that he/she/they know(s)
to be the individual described in and who executed the foregoing
instrument; that said subscribing witness was present and saw said
execute the same; and that said witness at the same time subscribed
his/her/their name(s) as a witness thereto.
U
SE ACKNOWLEDGMENT FORM BELOW WITHIN NEW YORK STATE ONLY:
State of New York, County of } ss.:
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 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.
A
CKNOWLEDGMENT FORM FOR USE OUTSIDE NEW YORK STATE ONLY:
{Out of State or Foreign General Acknowledgment Certificate}
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . } ss.:
(Complete Venue with State, Country, Province or Municipality)
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 acknowledged to me that he/she/they executed
the same in his/her/their capacity(ies), 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, and that such individual
made such appearance before the undersigned in the
(Insert the city or other political subdivision and the state or country or
other place the acknowledgment was taken).
QUITCLAIM DEED
TITLE NO.
TO
D
ISTRICT
SECTION
BLOCK
LOT
COUNTY OR TOWN
RECORDED AT REQUEST OF
Fidelity National Title Insurance Company of New York
RETURN BY MAIL TO
FIDELITY NATIONAL TITLE INSURANCE
COMPANY OF NEW YORK
I
NCORPORATED
1928
Member New York State Land Title Association
RESERVE THIS SPACE FOR USE OF RECORDING OFFICE
