Form 8037 (3/00) - Owner's Estoppel Certificate

THE UNDERSIGNED,owning premises situate in
covered by the following mortgage :
Mortgage for $ dated the day of , , and
recorded in Liber of section of mortgage, page in the office of the
of the
which mortgage is about to be assigned by the holder thereof to
DO HEREBY CERTIFY, in consideration of the sum of One Dollar paid, the receipt whereof is
hereby acknowledged, and to enable said assignment to be made and accepted, that said mortgage
is a valid lien on said premises for the full amount of principal and
interest now owing thereon, namely,
Dollars, and interest thereon at per centum from the day of , ,
and that there are no defenses or offsets to said mortgage or to the
bond or note secured thereby, and that all the other provisions of said bond or note and mortgage
are in force and effect.
DATEDthe day of , .
INPRESENCEOF:
Form 8037 (3/00) – Owner’s Estoppel Certificate.
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT – THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY.
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