FILED: WESTCHESTER COUNTY CLERK 01/12/2018 04:26 PM
`NYSCEF DOC. NO. 1
`RECEIVED NYSCEF: 01/12/2018
`
`INDEX NO. 50633/2018
`
`OF THE STATE
`COURT
`SUPREME
`COUNTY
`OF WESTCHESTER
`-----------------------------------------------------------------------X
`CLAUDEL
`
`AIME,
`
`Plaintiff
`
`OF NEW YORK
`
`Index
`Date
`
`No.
`purchased:
`
`Kings
`as the
`
`County
`place
`
`of
`
`trial.
`
`-against-
`
`MAIAKLOVSKY
`
`PREVAL
`
`and WALKINS
`
`FERDINAND,
`
`Defendants.
`-----------------------------------------------------------------------X
`
`TO THE ABOVE
`
`NAMED
`
`DEFENDANTS:
`
`the venue is
`
`The basis of
`subject
`property
`14 Balmoral
`White
`
`Plains,
`
`Crescent,
`NY 10607
`
`SUMMONED
`YOU ARE HEREBY
`to answer
`serve
`the
`your
`if
`a copy
`is not
`served
`complaint
`answer,
`or,
`on the
`within
`20 days
`the Plaintiffs
`attorneys
`for
`of appearance
`after
`the
`of
`service
`(or within
`exclusive
`of
`service
`30 days
`day
`of New York).
`delivered
`to you within
`the State
`judgment
`be taken
`against
`you
`default
`for
`
`of
`
`personally
`answer,
`
`will
`
`by
`
`complaint
`the
`this
`with
`the
`after
`is complete
`of
`your
`In case
`relief
`demanded
`the
`
`in this
`
`of
`
`to
`and
`a notice
`
`action
`to serve
`summons,
`this
`service
`summons,
`summons
`is not
`if
`this
`to appear
`or
`failure
`complaint.
`in the
`
`NOTICE
`
`OF NATURE
`
`OF ACTION
`
`AND RELIEF
`
`SOUGHT
`
`that
`
`the
`
`court
`
`Dated:
`
`THE NATUREAND
`grant
`partition
`sale
`by
`
`RELIEF
`of
`certain
`
`Brooklyn,
`
`January
`
`New York
`10, 2018.
`
`To:
`
`WALKINS
`172-12
`
`Jamaica,
`
`133d
`
`FERDINAND
`Avenue
`apt
`NY 11434
`
`4f
`
`MAIAKLOVSKY
`14 Balmoral
`White
`
`Plains,
`
`PREVAL
`
`Crescent,
`NY 10607
`
`SOUGHT
`real
`
`property,
`
`for
`
`captioned
`above
`the
`in accordance
`with
`
`action
`RPAPL
`
`is to request
`Article
`9.
`
`<)f
`
`OSL
`
`l
`
`b c
`
`$o
`
`Fr
`Atn
`20
`
`k
`. Rio,
`ney for
`1 Flatbush
`NY
`Brooklyn,
`258-2255
`(718)
`
`Esq.
`Plaintiffs
`Avenue
`11234
`
`1
`
`1 of 8
`
`

`

`FILED: WESTCHESTER COUNTY CLERK 01/12/2018 04:26 PM
`NYSCEF DOC. NO. 1
`RECEIVED NYSCEF: 01/12/2018
`
`INDEX NO. 50633/2018
`
`STATE
`
`OF NEW YORK
`
`SUPREME
`OF THE
`COURT
`COUNTY
`OF WESTCHESTER
`———
`-----------------------------------------------------------------X
`CLAUDEL
`
`AIME,
`
`————
`
`—
`
`————-
`
`Plaintiffs,
`
`-against-
`
`MAIAKLOVSKY
`
`PREVAL
`
`and WALKINS
`
`FERDINAND,
`
`Defendant.
`
`——————
`——— —
`---------------------------------------------------------------------X
`
`— ————- —
`
`Index
`
`No.
`
`VERIFIED
`
`COMPLAINT
`
`The
`
`Plaintiff,
`
`MAIAKLOVSKY
`
`PREVAL
`
`and WALKINS
`
`FERDINAND,
`
`by and
`
`through
`
`their
`
`attorney
`
`JOSEPH
`
`PAUKMAN
`
`for
`
`the
`
`law office
`
`of FRANK
`
`J. RIO,
`
`Esq.
`
`complaining
`
`of
`
`the
`
`Defendants
`
`MAIAKLOVSKY
`
`PREVAL
`
`and WALKINS
`
`FERDINAND,
`
`alleges
`
`as follows:
`
`1.
`
`CLAUDEL
`
`AIME
`
`resides
`
`at 584 Rogers
`
`Ave.,
`
`Brooklyn,
`
`NY 1 1225.
`
`MAIAKLOVSKY
`
`PREVAL
`
`resides
`
`at 14 Balmoral
`
`Crescent,
`
`White
`
`Plains,
`
`WALKINS
`
`FERDINAND
`
`resides
`
`at 172-12
`
`133d
`
`Avenue,
`
`Apt
`
`4f,
`
`Jamaica,
`
`NY
`
`NY
`
`2.
`
`3.
`
`Plaintiff,
`
`Defendant,
`
`10607.
`
`Defendant,
`
`11434.
`
`4.
`
`Plaintiffs
`
`and Defendants
`
`are the
`
`legal
`
`owners,
`
`as tenants
`
`in common,
`
`of
`
`the
`
`known
`
`as and
`
`the
`
`address
`
`of
`
`14 Balmoral
`
`White
`
`and
`
`by
`
`street
`
`Crescent,
`
`Plains,
`
`Block:
`
`258,
`
`Lot
`
`18 in Westchester,
`
`New York
`
`(hereinafter
`
`the
`
`"premises").
`
`"subject
`
`property
`NY 10607,
`premises"
`
`as
`
`or
`
`just
`
`5.
`
`This
`
`action
`
`is being
`
`brought
`
`pursuant
`
`to Article
`
`9 of
`
`the Real
`
`Property
`
`Actions
`
`and
`
`Proceedings
`
`Law of
`
`the State
`
`of New York,
`
`to request
`
`the
`
`court
`
`to grant
`
`partition
`
`by
`
`sale
`
`of
`
`the
`
`subject
`
`premises.
`
`6.
`
`7.
`
`The
`
`subject
`
`premises
`
`are more
`
`specifically
`
`described
`
`as follows.
`
`See (Exhibit
`
`A).
`
`Plaintiff
`
`CLAUDEL
`
`AIME
`
`owns
`
`in fee
`
`and
`
`possesses
`
`one
`
`undivided
`
`third
`
`of
`
`the
`
`subject
`
`premises.
`
`8.
`
`Defendant
`
`WALKINS
`
`FERDINAND
`
`owns
`
`in fee
`
`and
`
`possesses
`
`one
`
`undivided
`
`third
`
`of
`
`the
`
`subject
`
`premises
`
`and Defendant
`
`MAIAKLOVSKY
`
`PREVAL
`
`owns
`
`in fee
`
`and
`
`possesses
`
`one
`
`undivided
`
`third
`
`of
`
`the
`
`subject
`
`premises.
`
`2
`
`2 of 8
`
`

`

`FILED: WESTCHESTER COUNTY CLERK 01/12/2018 04:26 PM
`NYSCEF DOC. NO. 1
`RECEIVED NYSCEF: 01/12/2018
`
`INDEX NO. 50633/2018
`
`9.
`
`The
`
`subject
`
`premises
`
`was
`
`acquired
`
`by
`
`virtue
`
`of a Bargain
`
`and Sale Deed
`
`by Ai
`
`Lan
`
`Zhu
`
`to
`
`CLAUDEL
`
`AIME,
`
`MAIAKLOVSKY
`
`PREVAL
`
`and WALKINS
`
`FERDINAND
`
`dated
`
`October
`
`26,
`
`2015,
`
`recorded
`
`in the New York
`
`State
`
`Register's
`
`Office,
`
`Westchester
`
`County.
`
`A
`
`copy
`
`of
`
`the Deed
`
`annexed
`
`hereto
`
`as Exhibit
`
`"A".
`
`10. On January
`
`11, 2018,
`
`Defendant
`
`MAIAKLOVSKY
`
`PREVAL
`
`advised
`
`our
`
`office
`
`that
`
`Defendant
`
`is not willing
`
`to vacate
`
`or sell
`
`the
`
`subject
`
`premises.
`
`11. The
`
`subject
`
`premises
`
`is so situate
`
`that
`
`a division
`
`or partition
`
`thereof
`
`among
`
`the
`
`parties
`
`entitled
`
`rights
`
`and
`
`interests
`
`cannot
`
`be had without
`
`thereto
`
`according
`
`to their
`
`respective
`
`prejudice
`
`to the
`
`owners
`
`thereof.
`
`12.
`
`All
`
`parties
`
`to this
`
`action,
`
`upon
`
`information
`
`and
`
`belief,
`
`are of
`
`full
`
`age
`
`and
`
`sound
`
`mind.
`
`13. Upon
`
`information
`
`and
`
`belief,
`
`no other
`
`properties
`
`than
`
`the
`
`aforesaid
`
`premises
`
`is owned
`
`by
`
`the
`
`parties
`
`hereto
`
`in common
`
`or
`
`jointly.
`
`WHEREFORE
`
`Plaintiffs
`
`demand
`
`judgment
`
`as follows:
`
`i.
`
`ii.
`
`That
`
`the Plaintiff
`
`CLAUDEL
`
`AIME
`
`is seized
`
`and
`
`possessed
`
`as tenant
`
`in common
`
`in fee
`
`of an undivided
`
`one-third
`
`part
`
`of
`
`the
`
`subject
`
`premises.
`
`That
`
`the
`
`WALKINS
`
`is seized
`
`and
`
`possessed
`
`as tenant
`
`in
`
`defendant,
`
`FERDINAND,
`
`common
`
`in fee
`
`of an undivided
`
`one-third
`
`part
`
`of
`
`said
`
`premises.
`
`iii.
`
`iv.
`
`That
`
`the
`
`defendant,
`
`MAIAKLOVSKY
`
`PREVAL,
`
`is seized
`
`and
`
`possessed
`
`as tenant
`
`in
`
`common
`
`in fee
`
`of an undivided
`
`one-third
`
`part
`
`of
`
`said
`
`premises.
`
`That
`
`the
`
`said
`
`premises
`
`are
`
`so situate
`
`that
`
`a sale
`
`thereof
`
`is necessary,
`
`and
`
`that
`
`said
`
`premises
`
`be sold
`
`by and
`
`under
`
`the
`
`direction
`
`of
`
`the
`
`court
`
`and
`
`conveyance
`
`given
`
`to the
`
`purchaser.
`
`v.
`
`That
`
`out
`
`of
`
`the moneys
`
`arising
`
`from
`
`said
`
`sale
`
`the Plaintiff
`
`be paid
`
`his
`
`costs
`
`of
`
`this
`
`action
`
`and
`
`said
`
`sale.
`
`vi.
`
`vii.
`
`That
`
`the
`
`residue
`
`of
`
`the money
`
`arising
`
`from
`
`said
`
`sale
`
`be divided
`
`and
`
`paid
`
`one
`
`third
`
`part
`
`thereof
`
`to Plaintiff,
`
`two
`
`third
`
`part
`
`thereof
`
`to the
`
`defendants.
`
`That
`
`it be adjudged
`
`by
`
`said
`
`sale
`
`and
`
`conveyance
`
`pursuant
`
`thereto,
`
`that
`
`the Plaintiff
`
`and
`
`Defendants
`
`and
`
`all
`
`persons
`
`claiming
`
`through
`
`or under
`
`them
`
`subsequent
`
`to the
`
`filing
`
`of
`
`the
`
`notice
`
`of
`
`the
`
`pendency
`
`of
`
`this
`
`action,
`
`be barred
`
`of all
`
`right,
`
`title
`
`and
`
`interest
`
`in said
`
`premises
`
`in possession,
`
`reversion,
`
`remainder
`
`or otherwise..
`
`3
`
`3 of 8
`
`

`

`FILED: WESTCHESTER COUNTY CLERK 01/12/2018 04:26 PM
`NYSCEF DOC. NO. 1
`RECEIVED NYSCEF: 01/12/2018
`
`INDEX NO. 50633/2018
`
`Dated:
`
`Brooklyn,
`Januaryl
`
`New York
`1, 2018
`
`Law
`
`Office
`
`of Frank
`
`J. Rio
`
`By:
`Atto
`201
`
`f
`
`ph Paukman
`os
`- eys for
`Plaintif
`Avenue
`Flatbush
`NY
`11234
`258-2255
`
`258-7058258-7058
`
`Brooklyn,
`Tel:
`
`(718)
`Fax:(718)
`Fax:(718)
`
`4 of 8
`
`

`

`FILED: WESTCHESTER COUNTY CLERK 01/12/2018 04:26 PM
`NYSCEF DOC. NO. 1
`RECEIVED NYSCEF: 01/12/2018
`
`INDEX NO. 50633/2018
`
`SUPREME
`OF THE STATE
`COURT
`COUNTY
`OF WESTCHESTER
`---------------------------------------------------------------------X
`CLAUDEL
`
`AIME,
`
`OF NEW YORK
`
`Plaintiffs,
`
`Index
`
`No.
`
`-against-
`
`ATTORNEY
`
`VERFICATION
`
`MAIAKLOVSKY
`
`PREVAL
`
`and WALKINS
`
`FERDINAND,
`
`Defendant.
`
`—
`X
`
`-----------------------------------------------------------------------X
`OF NEW YORK
`STATE
`
`) )
`
`)
`
`COUNTY
`
`OF KINGS
`
`of New York,
`JOSEPH
`an attorney
`in the Courts
`admitted
`PAUKMAN,
`duly
`I am the
`I have
`the
`read
`the
`for Plaintiffs;
`under
`penalties
`of perjury
`affirms
`that
`attorney
`same
`are true
`to my
`and Complaint,
`the
`and
`contents
`Summons
`know
`the
`thereof,
`on information
`and
`those
`matters
`belief
`stated
`to be alleged
`are
`except
`therein
`which
`knowledge,
`therein
`not
`I believe
`belief
`as to those matters
`and
`as to those
`matters
`them
`stated
`to be true. My
`as well
`as upon
`documentation
`upon
`is based
`on my conversation
`I had with my clients,
`knowledge
`their
`in my file.
`counsel
`and
`and
`Verification
`is made
`not Plaintiffs,
`The
`reason
`this
`or has a place
`is that
`Plaintiff
`resides
`in Kings
`where
`office
`of business
`is
`located.
`
`hereby
`annexed
`
`possession,
`neither
`
`to practice
`
`by
`County,
`
`my
`
`Dated:
`
`Brooklyn,
`
`January
`
`New York
`11, 2018
`
`Josep
`
`Pa
`
`an
`
`5
`
`5 of 8
`
`

`

`FILED: WESTCHESTER COUNTY CLERK 01/12/2018 04:26 PM
`NYSCEF DOC. NO. 1
`RECEIVED NYSCEF: 01/12/2018
`- BargainandSaleDeed,with CovenantagainstGrantor'sActs-Individual
`Individual or Corporation(SingleSheet)
`BÒED BY LAWYERS ONLY.
`—
`CÓNSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS
`INSTRUMENT SHOU
`
`INDEX NO. 50633/2018
`
`.THIS
`
`INDENTURE,
`
`made the 3 Ú
`
`day of Û
`
`, in the year 2015
`
`BETWEEN
`
`Ai Lan Zhu,
`
`14 Balmoral
`
`the first part;
`party of
`and Maikaldovsky
`the second part,
`party of
`that
`the party
`WITNESSETH,
`
`of
`
`the first part,
`
`Crescent, White Plains, NY
`~
`gp~
`and Ferdinand-Walkins,
`
`Preval, Claudel
`
`Aime,
`
`/+jul«d
`
`~+r
`
`~pJAlti~
`gq
`2732 Hering
`
`MIPIVt~
`'/0
`Ave., Bronx, NY '
`
`paid by the party
`the second
`of
`part, does hereby
`and assigns
`the party
`of
`of
`the second part
`forever,
`
`that
`ALL
`in the town
`
`piece
`certain
`plot,
`of Mamaroneck,
`
`or parcel
`of
`see attached
`
`land, with
`description
`
`in consideration
`
`of
`ten dollars
`grant and release unto..the
`
`and other good and valuable
`
`party
`
`of
`
`the second
`
`part,
`
`dollars
`consideration
`the heirs or successors
`
`the buildings
`
`and improvements
`
`thereon
`
`erected,
`
`situate,
`
`lying
`
`and being
`
`all
`with
`title
`TOGETHER
`and
`if
`right,
`any,
`interest,
`the above
`described
`to the center
`premises
`lines
`abutting
`rights
`of
`of
`the first part
`the party
`in and to said premises;
`party of
`the second part,
`the heirs or successors
`and assigns
`
`the
`
`in and to
`part
`the party
`first
`of
`of
`the appurtenances
`with
`TOGETHER
`thereof;
`AND TO HOLD the premises
`TO HAVE
`forever.
`the second part
`the party
`of
`of
`
`roads
`and
`streets
`any
`the estate and
`and all
`granted
`unto the
`herein
`
`AND the party.of
`the first part has not done or suffered
`part
`the:first
`of
`the party
`that
`covenants
`premises
`have been encumbered
`as aforesaid.
`except
`in any way whatever,
`AND the party
`the first part will
`the party
`that
`covenants
`the first part,
`13 of
`the Lien
`with Section
`in compliance
`of
`Law,
`fund to be applied
`as a trust
`receive
`such consideration
`the consideration
`for
`this conveyance
`hold the right
`to receive
`and will
`the
`the cost of
`to the payment
`of
`the same first
`first
`for
`the purpose
`the improvement
`and will
`of paying
`the cost of
`apply
`"party"
`it
`shall be construed
`as if
`The word
`before
`any part of
`the total of
`the same for any other purpose.
`improvement
`using
`read "parties"
`the sense of
`so requires.
`whenever
`this indenture
`
`anything
`
`whereby
`
`the said
`
`of
`
`IN WITNESS
`
`WHEREOF,
`
`the party
`
`of
`
`the first part has duly executed
`
`this deed the day and year
`
`first above written.
`
`IN PRESENCE
`
`OF:
`
`.
`
`gQna
`
`Zhu
`
`I
`
`i
`
`d
`
`\
`
`i
`
`'I
`
`'4
`
`6 of 8
`
`

`

`FILED: WESTCHESTER COUNTY CLERK 01/12/2018 04:26 PM
`I
`NYSCEF DOC. NO. 1
`RECEIVED NYSCEF: 01/12/2018
`
`INDEX NO. 50633/2018
`
`Title
`
`Number
`
`SKY-8754-W
`
`Schedule
`
`A Description
`
`Revised:
`
`10/2,2/2015
`Page
`
`1
`
`ALL
`
`that
`
`certain
`
`plot,
`
`piece
`
`or parcel
`
`of Westchester
`
`of
`
`land,
`and State
`
`'
`
`Greenburgh,
`County
`9 on a certain
`No.
`Town
`
`of Greenburgh,
`.1961
`December
`1961
`2,
`Register's
`
`formerly
`No.
`13901
`
`map entitled,
`Westchester
`
`"Subdivision
`
`Co. N.Y.",
`
`and
`
`filed
`
`Office
`
`in
`
`the
`
`County
`of Westchester
`
`Clerk's
`
`County,
`as follows:
`
`bounded
`
`and
`
`described
`
`situate,
`lying
`of New Ÿórk,
`Map
`Section
`made
`I. K. Soben,
`Division
`
`and
`
`being
`and
`shown
`
`in the Town
`
`of
`
`designated
`
`as Lot
`
`2 Worthington
`
`Surveyor,
`of Land
`
`Inc.,
`
`Estates,
`dated
`
`Records,
`1964
`as Map
`
`.
`
`on March
`
`13,
`
`by
`
`Office,
`New.York
`
`BEGINNING
`of Lot
`line
`
`RUNNING
`
`minutes
`
`23
`
`at a point
`
`on the
`
`southerly
`
`side
`
`of Balmoral
`
`Crescent
`
`where
`
`010
`
`intersects
`
`the
`
`easterly
`
`line
`
`of Lot
`
`49
`
`as shown
`
`on above
`
`the westerly
`mentioned
`map;
`
`THENCE
`
`the
`
`division
`
`line
`
`feet
`
`to lands
`
`between
`now or
`
`Lots
`
`9 and
`
`10 South
`
`2 degrees
`
`formerly
`
`Country
`
`Club
`
`Estates
`
`35
`
`as
`
`may
`
`be shown
`
`413901
`
`above
`
`mentioned;
`
`and
`
`or
`
`along
`seconds
`West
`113.58
`on said. Map
`
`THENCE
`
`formerly
`seconds
`
`#13901);
`
`along
`Anna
`
`lands
`
`Kane
`
`West
`
`100
`
`feet
`
`now or
`(as may
`to the
`
`formerly
`be shown
`
`easterly
`
`Club
`Country
`on said map
`line
`#8
`of Lot
`
`Estates
`
`lands
`
`also)'North
`
`87 degrees
`
`now
`24 minutes
`
`37
`
`(also
`
`shown
`
`on
`
`said
`
`filed
`
`Map
`
`1
`
`'
`
`THENCE
`
`along
`
`the
`
`division
`
`line
`
`between
`
`Lots
`
`8 and
`
`9 North
`
`2 degrees
`
`35 minutes
`
`23
`
`seconds
`
`East,
`
`113.58
`
`feet
`
`to the
`
`southerly
`
`line
`
`of Balmoral
`
`Crescent;
`
`.
`
`THENCE
`
`along
`
`the
`
`seconds
`
`East,
`
`100
`
`southerly
`to the
`feet
`
`line
`
`of Balmoral
`
`Crescent
`
`South
`
`87 degrees
`
`24 minutes
`
`37
`
`point
`
`or place
`
`of BEGIN14I
`
`G.
`
`AM b
`
`E/
`
`6,
`
`.
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`b£ D To
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`
`cot
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`((
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`!
`
`7 of 8
`
`

`

`FILED: WESTCHESTER COUNTY CLERK 01/12/2018 04:26 PM
`NYSCEF DOC. NO. 1
`RECEIVED NYSCEF: 01/12/2018
`
`INDEX NO. 50633/2018
`
`ACIMOWLEDGEMENT
`
`TAKEN
`
`IN NEW YORK STATE
`
`ACKNOWLEDGEMENT
`
`TAKEN
`
`IN NEW YORK STATE
`
`State of New York,.County
`gd»
`f
`
`On.the
`
`of d#
`day
`personally
`
`undersigned,
`
`of Westchester,
`
`ss: .
`
`n the year 2015, before me,
`appeared Ai Lan Zhu
`
`the
`
`'
`
`State of New York, County of Westchester,
`i
`day of Oct
`appeared
`
`On the
`
`personally
`
`ss:
`
`in the year 2014, before me,
`
`the undersigned,
`
`I
`known to me or proved to me on the basis of
`known to me or proved to me on the basis of
`, personally
`, personally
`evidence to be the individual(s)
`whose name(s)
`whose name(s)
`evidence to be the individual(s)
`is (are)
`is (are)
`satisfactory
`satisfactory
`subscribed
`to the within
`subscribed to the within instrument
`to me that
`instrument
`and acknowledged
`to me that
`and acknowledged
`he/shelthey'
`executed the same in his/her/their
`and that by . he/she/they executed the same in his/her/their
`and that by
`capacity(ies),
`he/she/they
`capacity(ies),
`on the instrument,
`or the
`the individual(s),
`his/her/their
`on the instrument,
`the individual(s),
`or the
`his/her/their
`signature(s)
`.
`signature(s)
`person upon behalf of which the individual(s)
`person upon behalf of which the individual(s)
`acted, executed the
`acted, executed the
`i p ment.
`instrument.
`
`.
`
`MAR1LYN A. RIGA NO
`aw York
`State of
`Notary Public,
`No. 01RI 1884140
`Registration
`in Dutchess
`County
`Qualliled
`Jant ary 5,. 20
`Expires
`Commission
`
`,
`I
`
`!
`
`p
`
`(
`
`.
`
`fL¾~
`
`.
`
`I
`BY SUBSCRIBING
`
`ACKNOWLEDGEMENT
`IN NEW YORK STATE
`
`WITNESS
`
`TAKEN
`
`ACKNOWIIsDGEiviE
`STATE
`
`T TAKEN OUTSIDE NEW YORK
`
`.
`
`State of New York, County of
`
`, ss:
`
`On the
`
`in the year,
`day of
`the
`before me,
`a Notary Public
`in and for said State, personally
`appeared
`undersigned,
`, 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
`in
`reside(s)
`
`(if theplaceof residenceis inn city, includethestreetandstreetnumberif any,thereof):
`that he/she/they
`know(s)
`
`to be the individual
`described in and who executed the foregoing
`that said subscribing witness was present and saw said
`instrument;
`
`execute the same; and that said witness at the same time subscribed
`his/her/their
`name(s) as a.witness
`thereto
`
`County of,
`*State of,
`*(Or
`insert District
`of Columbia,
`
`ss:
`Territory, Possession or Foreign
`
`County)
`
`On the
`undersigned
`
`''
`; day of
`personally
`
`in the year
`appeared
`
`, before me
`
`the
`
`/
`to me or proved to me on the basis of satisfactory
`known
`Personally
`II
`whose name(s)
`is (are) subscribed to the
`evidence to be'the individual(s)
`to me that he/she/they
`and acknowledged
`executed the
`within instrument
`II
`IBii
`that by his/her/their
`same in hish2r/their
`on
`capacity(ies),
`signature(s)
`or the person upon behalf of which the
`the individual(s)
`the instrument,
`a
`executed the instrument,
`and that such individual
`acted,
`individual(s)
`Il
`appearance
`
`undersignedundersigned
`inin thethe
`
`beforebefore thethe
`makemak'e suchsuch appearance
`i
`'I
`
`and the state or country or other
`subdivision
`(add the city or political
`was taken).
`place the acknowledgement
`l'I
`
`I
`
`Bargain
`. With
`
`and
`
`Sale
`
`Deed
`
`Covenants
`
`Title
`
`No.
`
`SECTION:
`
`'
`'
`
`"7I"9i
`
`BLOCK
`
`LOT:
`
`Q SQ
`
`COUNTY OÅ TÓWN:
`
`N>~Tt-~~~
`N>~/f-4~~~
`
`TOTO
`
`8 of 8
`
`II
`
`