HomeMy WebLinkAboutL 13170 P 149 SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: MISCELLANEOUS - DEED Recorded: 08/18/2022
Number of Pages: 4 At: 04 :38: 55 PM
Receipt Number : 22-0133175
LIBER: D00013170
PAGE : 149
District: Section: Block: Lot:
0204 019 . 00 04 . 00 074 . 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. 00YES
Fees Paid $0. 00
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
RECORDED
Number of pages 2022 Aug 18 04:38:56 PM
JUDITH A. PASCALE
-- CLERK-OF--
This document will be public SUFFOLK COUNTY
record. Please remove all L D00013170
Social Security Numbers P 149
prior to recording.
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 1 FEES
Page/Filing Fee Mortgage Amt.
1.Basic Tax
Handling 20. 00 2. Additional Tax
TP-584 SubTotal
Notation Spec./Assit.
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
Dual Town Dual County
R.P.T.S.A. Held forAppointment
Comm.of Ed. 5. Do- Transfer Tax
Affidavit �. Mansion Tax
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES orNO
Other
Grand Total If NO, see appropriate tax clause on
page ftof this instrument.
4 Dist. Section Block Lot 5 Community Preservation Fund
Real Property Consideration Amount$
Tax Service
Agency CPF Tax Due $
Verification
Improved
Satisf a ctions/Discha rgesl Releases List Property owners Mailing Address
6 R CORD&RETURNTO: Vacant Land
Lori 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.suffolkcountyny.gov/clerk Title a
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached misc-DEED Amur made
by: (SPECIFY TYP lt)
The premises herein is situated in
SUFFOLK COUNTY,NEW YORK.
TO In the TOWN of BROOKHAVEN
In the VILLAGE
or HAMLET of PATCHOGUE
BOXES BTHRU H 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
o
District Section Block Lot District Section Block Lot LIBER PAGE DOCUMENT TYPE
0204 01900 0400 073001 0204 01900 0400 074000 13142 530 DEED E
ADD 1000 07600 0200 034002 12686 316 DEED
0400 22700 0100 001002 0400 1 22700 0100 001004 13158 584 DEED
ADD 1000 11300 1300 003000 12822 52 DEED
ADD 1000 11300 1300 015000 12822 52 DEED
0200 95400 0300 002000 0200 95400 0300 001000 13168 143 DEED
0200 95400 0300 002000 0200 95400 0300 004000 13168 144 DEED
0200 95400 0300 002000 0200 95400 0300 003000 13168 145 DEED
Prepared by: �Z —` Coy i ,✓� DATE=
SIGNATURE OF REPRESENTATIVE
o
AFFIDAVIT.TO CORRECT„NUMERIC IDENTIFIER
I, THE UNDERSIGNED, DEPUTY DIRECTOR OF THE REAL PROPERTY TAX
SERVICE AGENCY, PRESENT THIS AFFADAVIT FOR THE PURPOSE OF CORRECTING
THE REAL PROPERTY TAX MAP INDENTIFIER(S) LISTED ON THE REVERSE.
JONATHAN PRICE
DEPUTY DIRECTOR,
R
-UNIEQR
M FPBM CERTIFICATE OF ACKN0WLEDGEMENT
STATE OF NY)
COUNTY OF SUFFOLK )
On the . }Iv �` day of &W r in the year QL the
undersigned, personally appeared Or;ee- 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 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.
F
ERIN LAKiOS
STATE OF NEW YORK
o.01LA6425323
SUFFOLK County
es November 25,2025
Notary Public