HomeMy WebLinkAboutL 12540 P 107SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: MISCELLANEOUS - DEED
~m~er of Pages: 3
Receipt ~mker : 08-0012508
District: Section: Block:
1000 070.00 02.00
Recorded:
At:
LIBER:
PAGE:
EXAMINED AND CHARGED AS FOLLOWS
Received the Following Fees For Above Instrument
Ex~npt
Page/Filing $0.00 YES Handling
COE $0.00 YES NYS SRCHG
EA-CTY $0.00 YES EA-STATE
TP-584 $0.00 YES Notation
Cert. Copies $0.00 YES RPT
Fees Paid
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
~UDZTH A. pASC~T,~
County Clerk, Suffolk County
02/0S/2008
11:53:36 AM
D00012540
107
Lot:
019.004
Exempt
$0.00 YES
$0.00 YES
$0.00 YES
$0.00 YES
$0.00 YES
$o.oo
Number of pages
Serial #
Certificate #
Prior Ctf. #
Deed / Mortgage Instrument
Page I Filing Fee
Handling 5. 00
TP-584
Notation
EA-52 17 (County)
EA-5217 (State)
R.P.T.S.A.
Comm. of Ed. 5. 00
Affidavit
Certified Copy
NYS Surcharge 15. 00
Other
Deed / Mortgage Tax Stamp
FEES
Sub Total
Sub 'lbtal
Grand Total
RECORDED
2008 Fe~,
J'IJI)ITH Pi, PA~CALE
r_J_E~k OF
SUFFOLK COUNTY
L D00012540
P 107
Recording / Filing Stamps
Mortgage Amt.
1. Basic Tax
2. Additional Tax
Sub Total
SpecdAssit.
or
Spec./Add.
TOT. MTG. TAX
Dual Town __ Dual County __
Held for Appointment
Transfer Tax
Mansion 'lax
The property covered by this mortgage is
or will be improved by a one or two
family dwelling only.
YES or NO
If NO, see appropriate tax clause on
page # of this instrument.
Dist. Block Lot
Community Preservation Fund
Real Property '.,
Tax Service
Agency
Verification I
I Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO:
SUFFOLK COUNTY REAL PROPERTY TAX SERVICE
ATTN PAT OLEJNICZAK
300 CENTER DRIVE
RIVERHEAD, NEW YORK 11901
Consideration Amount $
CPF Tax Due $
Improved
Vacant Land __
TD
TD
TD
TCo.[Name Title Company Information
Title #
Suffolk Count Recordin & Endorsement Pa e
(SPECIFY TYPE OF INSTRUMENT)
The promises heroin is situated in
SUFFOLK COUNTY, NEW YORK.
TO In the Township of
In the VILLAGE
or HAMLET of
BOXES 6 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
DistrictSection Block Lot DistrictSection Block Lot LIBER PAGE DOCUMENT TYPE
1000 07000 0200 0sRnnn 1000 07000 0200 019004 12533 116 DEED
Prepared by: ~'~, 218/2008
~ Stgniture of Representetit~ (~ Date
.AFFIDAVIT' rrO CORRECT ~VUNIERIC ~[.DENTIF~'R
I, the undersigned, Deputy Director of the Real Property Tax Servici Agency,
Acting for the Director of the Real Property Tax Service Agency,. prese.nt this
affidavit for the purpose of correcting the Real Property Tax Map Identifier(s)
listed on the reverse.
Gary M. Simonson'
Deputy Director
'[-~N'-iFOR.IVI FOR.lvl CERTiFiCATE· OF ACKI~'OV~7.~'~.~r~GE_-~IENt.
$'r,~r~ OF Nxw Yo~x )
· )§:
Cou~rv0~ Sus~or~ )
On the ~ day of ~ ~ the year 200~, the ~d~i~ed,
or proved to me on the bas~ of safisfa~o~ e~dence to be the ~di~dual(s) whose names) is/are
subsc~bed to the ~thin ~st~ment and a~owl~ged to me that hdshdthey executed the s~e
~ hh~er/the~ capaci~(ies), ~nd that by his~er/~eir si~a~re(s) on the ~m~t, ~e
individual(s), or ~e pe~on upon behaff for which the ~di~dual(s) acted, executed the
ins~men~
BRENDA L.G. S~CKLER
Notary Public, State of New
No. 01Sl5007053
Qualified in Suffolk County,,~.,~//
Commission Expires Jan. 19, "~ ''