NASSAU COUNTY INDEMNITY
TITLE NO.:_____________________
PREMISES ___________________________________________
STATE OF NEW YORK )
) SS.:
COUNTY OF____________)
I am/we are the Grantor(s)______________________________________________
__________________________________ in the deed conveying title to the property described, also described by the following tax map designators:
(District: Section: Block: Lot: )
WE HEREBY INDEMNIFY AND HOLD HARMLESS __________________________________
(“Title Agent”) AND __________________________________(“Underwriter”) FROM AND AGAINST ANY LOSS, DAMAGE, COSTS OR EXPENSES AND LIABILITIES WHICH MAY ARISE AS A RESULT OF THE NASSAU COUNTY CLERK’S INABILITY TO ACCURATELY REPORT CHANGES TO THE CHAIN OF TITLE AS OF THE DATE OF CLOSING. WE HAVE TAKEN NO ACTION WHICH WOULD ALTER THE VESTING OR ENCUMBER THE PREMISES THAT IS NOT DISCLOSED IN THE TITLE SEARCH COVERING THE SUBJECT PREMISES PREVIOUSLY PREPARED BY TITLE AGENT.
My/Our forwarding address is : __________________________________________
__________________________________________
__________________________________________
SSN: ____________________________________________
SSN: ____________________________________________
_____________________________ ______________________________
Grantor
_____________________________ ______________________________
Grantor
Sworn to before me this ___ day of __________________. 20____
_____________________
Notary Public
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