§ 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