HomeMy WebLinkAboutL 13004 P 964 !1111111 IIII 111111111111111 IIIII Ilfll IIIII IIIII IIII 1111
1111111 IIIII IIIII IIII IIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: MISCELLANEOUS - DEED Recorded: 03/20/2019
Number of Pages : 3 At: 09 :39 :26 AM
Receipt Number : 19-0055288
LIBER: D00013004
PAGE: 964
District: Section: Block: Lot:
0100 024 . 00 02 . 00 021. 000
EXAMINED AND CHARGED AS FOLLOWS
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $0 . 00 YES Handling $0 . 00 YES
COE $0 . 00 YES NYS SRCHG $0 . 00 YES
EA-CTY $0 . 00 YES EA-STATE $0 . 00 YES
TP-584 $0 . 00 YES Notation $0. 00 YES
Cert.Copies $0 . 00 YES RPT $0 . 00 YES
Fees Paid $0 . 00
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
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Number of pages RECORDED
2019 Mar 20 09:39:26 AM
JUDITH A. PASCALE
CLERK. OF
This document will be public SUFFOLK COUNTY
record. Please remove all L 000013004
Social Security Numbers P 964
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Page/Filing Fee Mortgage Amt.
1. Basic Tax _
Handling 20. 00
2. Additional Tax
TP-584 Sub Total
Notation Spec JAssit.
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
R.P.T.S.A. Dual Town Dual County
Held for Appointment
Comm.of Ed. 5. 00 � Transfer Tax
Mansion Tax
t`1 The property covered by this mortgage is
Certified Cop or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other
Grand Total If NO,see appropriate tax clause on
Spage# of this instrument.
4 1 Dist. Section Block Lot 5 Community Preservation Fund
Real Property Consideration Amount $
Tax Service
Agency CPF Tax Due $
Verification
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
TD
TD
TD
Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name
www.suffolkcountyny.gov/clerk Tide#
g Suffolk County Recor4ift& MW m�ent Page
This page forms part of the attached ArriwMill VI VVIIIJbIvIlvil – I' PP made by:
(SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
/2 t3 vto
TO In the TOWN of i24 d—
In the VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
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AFFIDAVIT TO CORRECT NUMERIC IDENTIFIER
I,THE UNDERSIGNED,ASSISTANT TO THE DIRECTOR OF REAL PROPERTY TAIL
SERVICE AGENCY, PRESENT THIS AFFADAVIT FOR THE PURPOSE OF CORRECTING
THE REAL PROPERTY TAX MAP INDENTIFIER(S) LISTED ON THE REVERSE.
JO ATHAN PRICE
ASSISTANT TO THE DIRECTOR
UNIFORM FORM CERTIFICATE OF ACKNOWLEDGEMENT
STATE OF NY)
COUNTY OF SUFFOLK )
in the eaX the
On the q--O-dayof y ,,,_....,
undersigned, personally appeared PC t personally
imown to me or proved to me on the basis of satisfactory evidence to be the
individual(s)whose name(s) is/are subscribed to the within instrument and
acknowledged to me that he/she/they executed the same in his/her/their
capacity(ies), and that by his/her/their signature(s) on the instrument, the
individual(s), or the person upon behalf for which the individual(s)acted,
executed the instrument.
STACY M.SUNDERMAN
Notary Public,State of New Yolk
No.04SU6287725
Qualified in Suffolk County
Qrfnmission Expires Aug.19,201(
Notary Public