7/25/2019 DOF Restrictive Covenant Form-final

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NOTICE OF HOMEOWNER ASSOCIATION RESTRICTIVE COVENANTS

This notice is meant to advise the public of the existence of and information about restrictive covenants that prohibit or restrict property own

rom taking certain actions or engaging in certain activities on a property within the control of a homeowners association. Once this notice ha

been completed and submitted, it will be recorded in the New York City epartment of !inance"s #utomated City $egister %nformation &yste

#C$%&( in connection with the property described.

This notice is intended only to provide information and describe restrictive covenants that already exist. It is not to be considered

an wa a declaration of new restrictions.

SECTION I HOEO!NE" #SSOCI#TION IN$O"#TION

)omeowner #ssociation Name* +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++

)omeowner #ssociation $epresentative* +++++++++++++++++++++++++++++++++++++++++ Title* ++++++++++++++++++++++++++++++++

usiness #ddress* ++++++++++++++++++++++++++++++++++++++++

City* ++++++++++++++++++++++++++++ &tate* +++++ -ip* +++++++++++++ Telephone No.* +++++++++++++++++++++++++++++

SECTION II %"O%E"T& IN$O"#TION

orough* ++++++++++++++++++++++ lock* +++++++++++++ ot*+++++++++++

&treet Number / Name* ++++++++++++++++++++++++++++++++++++++++++ 0nit 1 #partment Number* ++++++++++

%'E#SE #TT#CH THE %"O%E"T&(S 'E)#' *ESC"I%TION

SECTION III "EST"ICTI+E CO+EN#NTS

Title of ocument 2stablishing the $estrictive Covenants* +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++

3here the ocument etailing the $estrictive Covenants is ocated 'iber, $eel and 4age or C$!N(* ++++++++++++++++++++++++++++++

%'E#SE #TT#CH # CO%& O$ THE *OC,ENT TH#T EST#-'ISHE* THE "EST"ICTI+E CO+EN#NTS TO THIS NOTIC

SECTION I+ CE"TI$IC#TION

certify that all information contained in this notice and the accompanying documents is true and correct to the best of my knowledge and

belief. % understand that the willful making of any false statement of material fact contained herein will sub5ect me to the provisions of New Y

4enal aw 6 789.:; related to the making and filing of false instruments and will make this notice null and void.

&ignature* +++++++++++++++++++++++++++++++++++++ 4rint Name* +++++++++++++++++++++++++++++++++ ate* ++++++++++++++++

SECTION + #C/NO!'E*)EENT

&tate of New York (

ss.*

County of (

On the +++++day of +++++++++++ in the year ++++++++ before me, the undersigned, personally appeared ++++++++++++++++++++++++++personally known to me or proved to me on the basis of satisfactory evidence to be the individual's( whose name's( is 'are( subscribed to thwithin instrument and acknowledged to me that he1she1they executed the same in his1her1their capacity'ies(, and that by his1her1theirsignature's( on the instrument, the individual's(, or the person upon behalf of which the individual's( acted, executed the instrument.

++++++++++++++++++++++++++++++++++++ Notary 4ublic &tamp or &eal*

Notary 4ublic &ignature

++++++++++++++++++++++++++++++++++++

Notary 4ublic Office and Title