What does this affidavit request?

It requests exemption from the special additional mortgage tax for a mortgage on real property improved by a structure with six or fewer residential units, each with separate cooking facilities.

Who completes this affidavit?

The mortgagee, described on the form as the owner and holder of the mortgage, provides the mortgage and property details and certifies the stated property conditions.

Do I need a notary for this affidavit?

No. This directory lists the document as not requiring a notary, and no notarized attachment or separate sworn step is identified.

Ulster County, NY · Ulster County

No notary required

Affidavit of Exemption Under Section 253(1-a) of the Tax Law

This affidavit requests a mortgage tax exemption and is completed by the mortgagee submitting a mortgage for recording in Ulster County.

At a glance

Issued by: City of Ulster County · Ulster County, Ulster County, New York
Notarization: Not required: file this form without a notary.
Official source: clerk.ulstercountyny.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

The affidavit requests exemption from the special additional mortgage tax for a mortgage on qualifying residential property. It asks for the mortgagee and mortgagor names, mortgage date and amount, mortgage tax tendered, and property address, and includes a certification about the mortgagee and the property’s residential units.

Who needs it

A mortgagee submitting a mortgage for recording may use this affidavit to request the described exemption for qualifying residential property.

How to submit it

Submit it to the county office named on the form; check the county website for current contact details.

About notarization

This document is signed without a notary; no notarized attachment or separate sworn step is identified.

How to submit this form

1
Download the Affidavit
Download the affidavit PDF from the Ulster County document listing.
2
Complete the Mortgage Details
Enter the mortgagee and mortgagor names, mortgage date and amounts, and property address.
3
Review the Property Certification
Confirm the mortgagee and residential property details stated in the affidavit.
4
Submit to the County Office
Submit the affidavit with the mortgage to the county office named on the form.

Frequently asked questions

What does this affidavit request?: It requests exemption from the special additional mortgage tax for a mortgage on real property improved by a structure with six or fewer residential units, each with separate cooking facilities.
Who completes this affidavit?: The mortgagee, described on the form as the owner and holder of the mortgage, provides the mortgage and property details and certifies the stated property conditions.
Do I need a notary for this affidavit?: No. This directory lists the document as not requiring a notary, and no notarized attachment or separate sworn step is identified.
How do I submit this affidavit?: Submit it to the county office named on the form. Check the county website for current contact details.

Need something notarized?

This Affidavit of Exemption Under Section 253(1-a) of the Tax Law doesn’t need a notary, but if you have another Ulster County form that does, a commissioned online notary can help.