N.Y. Real Prop. Acts. Law § 435

§ 435. Form for certificate of title. The registrar's certificate\ntitle shall be in the following form:\nNo. ....... First registered ...........\n CERTIFICATE OF TITLE.\n (First Certificate) or (Transfer from No. ............) ..............\n.........................................................................\nState of New York,}\n }ss.:\nCounty ..........,}\n.........................................................................\nof (residence, and if a minor give his age; if under other disability,\nstate the nature of the disability); is the owner of an estate in fee\nsimple (or as the case may be) in the following land (here describe the\npremises) subject to the estates, easements, incumbrances and charges\nhereunder noted. (In case of trust, condition or limitation, say "in\ntrust" or "upon condition" or "with limitation," as the case may be.)\n Witness my hand and official seal this (date).\n (Seal) ......................,\n Registrar.\n MEMORIALS\nof estates, easements and charges on the land described in the above\ncertificate of title.\n________________________________________________________________________\n________________________________________________________________________\nDocument | | Running in | | Date of | Signature\n number | Kind | favor of | Terms| registration | of registrar\n_________|_______|____________|______|______________|___________________\n | | | | |\n | | | | |\n | | | | |\n | | | | |\n_________|_______|____________|______|______________|___________________\n________________________________________________________________________\n