HomeMy WebLinkAboutL 12271 P 387L_ /ot;~-//
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CONSULT YOUR LAWYB~ BEF(3~E IING~IEG 'II,UB IN81RUII~(T-1HI~ IId81~UBII~NT ~HOULD BE U~.D BY LAWYIER8 ONLY
The ~m~l 'parb/' shall be constn~d ~ if It read "pa~ wherever the sense of this Indenture ~ ~u~.
IN INITNES~ WHEREOF, the parl~ of the IImt part ha~ duly executed this deed the d.y ,.nd year
Number of paten '.~)TM
TORRENS
Serial #.
Certificate #
Pri~ Cfi. #
~ / Muflsase InLtrome~t
"1
.]
~ OO
MorlBage Ta~ Stamp
FEES
SubTotal
GRAND TO'fA L /~ --
i~a_l i~_y Tax ~ ~ V~iO~ti~
0~22174 zooo o4~o 0200 oz~ooo
Slamp ~
Dam
InJtbls ""-----'
~tionn/Diseharges/Relenees List Property Owners Mailing Address
' RF.~ORD & RF..'TUR3q TO:
,!
Edward P. I~bai~w
Ct. ERK (F
L 1~122~1.
P 59?
Recordins / Fllin~ R~amps
MortBnse Amt.
I. r~-=ic Tax
2. Additional Tn
Sub Total
~p~JAuait,
Or
Spec. lad&
TOT. MTG. TAX
Dual Town, ' D.al County__
Ileld For Apportimtm~nt _~
TransFor Tax
Mansion Tax
The properly covered by this mortgage is or
will be improved by n one or two Family
dwelllnS only.
YES or NO
If NO, see q~ropttnte tax clause on pole #
of this Inslmmem~
Community
Connidernriofl Amount
CI'F 'FaA Due S
Vacant Land
'I'D.
'H)
In the Township
In thc VII. J..A(iE
or I LAMLET of
P/~/i P/df'/A~,gr/7 .
BOXt~ 5 THRU 9 MUST BE I'YPFJ:} OR PRIN'I .'F.D IN BLACK INK ONLY PRIOR TO RF. CORDING OR FILING.
(OVER}
I lll]l]llUlllll[lll]l[i[[llllllllllllUllllll
SUFFOLK COUITI'Y CLER~
RECORDB OPPZCE
RECORDZNG P&G~
Tlrpe o£ Z~str~m~ut: DEEDB/DDD
lltmber o£ Pagee: 3
TR,~,NSFBR TAX NU~BgR: 03-05547
District:
1000
Dee~Jmount:
Reoorded:
LZBER:
PAGE:
Section: BZock=
040.00 02.00
90.00
09/11/2003
09858:35 AH
D00012271
387
015.000
Received the Following Fees For Above Xnst~une~t
Page/Fil/ng 99.00 HO HandlA~u3
COB 95.00 HO HYS
EA-C~Y 95.00 HO ~-BTA~B
· P-584 $5.00 ~ Ce~t.c~es
~ 930.00 ~ S~
T~sfer ~ $0.00 ~ C~,PFeB
Feea Paid
03-05547
PAGE
A PA~T OF THE XNSTR~T
~mpt
95.00 HO
$15.00 HO
950.00 No
90.00 Ho
$0.00 HO
$0.00
9124.00
Edward P.R~maine
Count¥Clerk, 8u££olk Cotmty
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
INSTRUCTIONS: http://www,orps.state.ny,us or PHONE (518) 473-7222
FOR COUNTY USE ONLY
PROPERTY INFORMATION
1. Propmy
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
RP - 5217
2. Buyer
..mo ~'~/0
I m/~T F/B/O JASON ;~T~"AI~N U,~/O M~RY MYT.T.k-.'~
Billing ifotherthanbuyeraddress(at~oEomoffofm) I C/O ~ ~.~ ,,
I 47-10 190th Street I Flushing
{ CAT, ER/NE
I I
Property [ Va~---~-I~- I X LI. aOSL---~ OR I .... · , I
6. sell~, ] ]DSTA~ C~ MAR~ ~ I
11358
SALE INFORMATION I
ASSESSMENT INFORMATION Data should reflect the latest Final Assessment Roll and Tax Bill I
which icto~mation =kan I ~ ?)~ L 17. Total Alsessed Value (of Ill parcels in transfer) L
L I I I
I CERTIFICATION I
SELLER
NEW' YORK STATE /
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