HomeMy WebLinkAboutL 12565 P 81SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
T~pe of Instrument: MISCELLANEOUS - DEED
N,,mher of Pages: 3
Receipt N,,mher : 08-0088949
District: Section: Block:
0400 074.00 02.00
Recorded:
At:
LIBER:
PAGE:
EXAMINED AND CHARGED AS FOLLOWS
Received the Following Fees For Above Instrument
Exempt
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
JUDITH A. PASCALE
County Clerk, Suffolk County
09/15/2008
02:55:38 PH
D00012565
081
Lot:
036.001
Exempt
$0.00 YES
$0.00 YES
$0.00 YES
$0.00 YES
$0.00 YES
$0.00
Number of pages
TORRENS
Serial #
Certificate #
Prior Ctf. #
Deed / Mortgage Instrument
RECORDED
2008 Sep 15 02:55:38 PM
JUDITH A. PASCALE
CLERK OF
SUFFOLK COUNTY
L D00012565
P 081
Deed / Mortgage Tax Stamp I Recording / Filing Stamps
31
FEES
Page / 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
4 I Dist.
Real Property
Tax Service
Agency
Verification
Sub Total
Sub Total
Grand Total
I Section ] Block Lot
I Satisfactions/Discharges/Releases List Property Owners Mailing Address
6
RECORD & RETURN TO:
SUFFOLK COUNTY REAL PROPERTY TAX SERVICE
ATTN PAT OLEJNICZAK
300 CENTER DRIVE
RIVERHEAD, NEW YORK 11901
Co. Name
Title #
Mortgage Amt.
1. Basic Tax
2. Additional Tax
Sub Total
Spec./Assit.
or
Spec./Add.
TOT. MTG. TAX
Dual Town __ Dual County __
Held for Appointment
Transfer Tax
Mansion Tax
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.
Community Preservation Fund
Consideration Amount $
CPF Tax Due $
Improved
Vacant Land
TD
TD
TD
Title
'Information
81
Suffolk County Recording & Endorsement Page
This page forms part of the attached (~'~qW~J{~U;70~ dO~ff.f(-l'(J'a~ made by:
(SPECIFY TYPE OF INSTRUMENT)
The premises herein 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
District Section Block Lot District Section Block Lot LIBER PAGE DOCUMENT TYPE
0400 07400 0200 036000 0400 07400 0200 036001 12560 602 DEED
0400 07400 0200 036000 0400 07400 0200 036002 12560 601 )EED
0900 13900 0100 018000 0900 13900 0100 018002 12117 182 DEED
ADD 1000 10100 0200 004000 11904 954 DEED
SCIN 122A (7104)
Prepared by:
Signiture of Representative Date
AFFIDAVIT' ~'O COR_R_ECT ~'UlV[ERIC
I, the undersigned, Deputy Director of the Real Property Tax Service' Agency,
Acting for the 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.
Gary bi. Simonson
Deputy Direet6r
UN'i~-OR/vl ~"OP..lvl CER'/'I-~'ICATE O1· ACKNO~EDGElvlZNT
STarx O~ Nzw Yomc )
)§:
Couwr¥O~ Sun, out )
./.5
persona~y appeared
day of in the year
200~, the undersigned,
, personally known to me
or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is/are
_~"xsubscribed to the within instrument and a~knowledged
· . she/they, executed the same
~er/their capacityCies), and that b{~/'~er/their sig-aature(s)on the instrument, the
individual(s), or 'the person upon behalf for which 'the individual(s) acted, executed the
instrument
Notary Public
{~CHARD MOT$CHENBACHER
NOTARY PUBLIC, State of New Yort,
'No. 52.4854401 - Suffolk County__