HomeMy WebLinkAboutL 13058 P 780 11111111 Illl 11111 11111 lffl l l l l l l l l l l l l l l l l 111 1 1 11 11 lff l
I l f f l l l l l l l l l l l l l l l l l l l l l
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: MISCELLANEOUS - DEED Recorded: 05/19/2020
Number of Pages: 3 At: 11: 04 : 52 AM
Receipt Number : 20-0073173
LIBER: D00013058
PAGE : 780
District: Section: Block: Lot:
0200 421. 00 04 . 00 002 . 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 RAT $0 . 00 YES
Fees Paid $0 . 00
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
�,- F❑2
Number of pages
F2E€:iiP.DED
2020 play 19 11,04:52 AN
JUDITH A. PASCALE
This document will be public CLERK OF
record. Please remove all SUFFOLK COUNTY
Social Security Numbers L Du00171058
prior to recording. P 780
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 FEES
Mortgage Amt.
Page/Filing Fee
1.Basic Tax
Handling 20. 00 2..Additional Tax
TP 584 Sub Total
Spec./Assit.
Notation
or
EA-52 17.(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
Dual Town Dual County
R.P.T.S.A. Held forAppointment
Comm.of Ed. 5. 00 �4 Transfer Tax
lr1�
S� Mansion Tax
Affidavit
� 3T IR The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES orNO
Other
Grand Total If NO, see appropriate tax clause on
`J I page# of this instrument.
4 Dist. Section Block Lot 5 Community Preservation Fund
Real Property Consideration Amount$
Tax Service'
Agency CPP Tax Due $
Verification
Improved
Satisfactions/Discharges Releases List Property Owners Mailing Address
6 R CORD&RETURN TO: Vacant Land
Lorraine Pauzer
300 Center Drive TD
Riverhead NY 11901
TD
TD
Mail to:Judith A. Pascale,Suffolk County Clerk Title Company Information
310 Center Drive, Riverhead, NY 11901 Co.Name
www.suffoikcountyny.gov/clerk
Title#
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached made
by; I NTI
The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of
In the VILLAGE
or HAMLET of
BOXES E THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
over
TAX MAP CERTIFICATION CORRECTION
SUFFOLK COUNTY REAL PROPERTY TAX SERVICE AGENCY
FROM: CERTIFIED TO: CERTIFIED
District Section Block Lot District Section Block Lot LIBER PAGE DOCUMENT TYPE
0200 42110 0400 002000 0200 42100 0400 002000 13055 121 DEED
0200 38700 0100 029000 0200 38710 0100 029000 13055 969 DEED
1000 09900 0100 016000 1000 09900 0100 016001 13035 457 DEED
ADD 0404 01200 0100 011000 12288 528 DEED
ADD 0404 01200 0100 011000 12736 452 DEED
ADD 0800 02100 0400 012000 13050 690 DEED
Prepared bye n,.t ej—�E5- ZaZ C�
SIGNATURE OF REPRESENTATIVE DATE
.r
AFFIDAVIT TO CORRECT NUMERIC IDENTIFIER
I,THE UNDERSIGNED, DIRECTOR OF THE REAL PROPERTY TAX SERVICE
AGENCY, PRESENT THIS AFFIDAVIT FOR THE PURPOSE OF CORRECTING
THE REAL PROPERTY TAX MAP IDENTIFIER(S) LISTED ON THE REVERSE.
DENNIS M. BROWN, ESQ.
DIRECTOR
UNIFORM FORM CERTIFICATE OF ACKNOWLEDGEMENT
STATE OF NEW YORK )
COUNTY OF SUFFOLK )
(90010
On the day of I Y V in the year , the undersigned,
personally appeared rn(�rpersonally known to me
or proved to me on the basis of satisfactory evidence to be the individuals(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 signatures(s) on
instrument, the individuals(s), or the person upon behalf for which the individuals(s) acted,
executed the instrument. -
Notary Public
NOTARY PUBL CAS ATE OF NEW YORK
N0.01CU6147653,SUFFOLK COUNTY
TERM EXPIRES JUNE 7,2W&
ZG>S2