N.Y. Lien Law § 249-a: Form of certificate of transcript of lien

§ 249-a. Form of certificate of transcript of lien. The recording

officer shall upon request issue a certificate or transcript of any

criminal surety bond lien on file in his office on the following or

substantially similar form, and the fee to be paid to the recording

officer for such certificate or transcript shall be fifty cents, except

that this fee shall not apply to state or county officers as related in

section two hundred forty-nine of the lien law. The certificate or

transcript shall be substantially in the following form:

No. ...... No. ..........

STUB STATE OF NEW YORK,

....... COUNTY OF

)

) ss:

)

Ser. No......... I, ............................... Register of the

Date of Criminal said county of ....................................

Surety Bond Lien DO HEREBY CERTIFY, that a certain Criminal Surety

................ Bond Lien, bearing date the .......................

................ day of ...........................................

Principal 19 ...., made by,

................ Principals

Surety Sureties

Sections ....... and filed in this office on the ...................

Blocks ......... day of ......... 19..., in Sections ...............

On Land Map of Boro/ .............. Blocks ............... on the Land

County of, Map of the County of ..............................

.............. and known as number ........................ Street/

Date, ........... Avenue, Boro .......................... N.Y.; the

Amount of Bail, .... Deed to which Real Property was recorded on the ...

day of ............. 19 ...., in Liber ............

Page ........ of Conveyances in the office of the

Register/County Clerk of the County of ............

and was given as Bail in the amount of ............

and was filed in my office on the .................

day of ....... 19.., AND IS NOT DISCHARGED OF RECORD.

Given under my hand and Official

Seal, this ..... day of ... 19...

.................Register

.................Dep'y Register