HomeMy WebLinkAboutL 12222 P 115yOUR LAWY~L BEFORt SiGiGI~ THIS ~NSTaUt~JtT . THIS ~3.1rIILI/~F. NT .gK)ULD Be USED SY LAWYEtS ONLY
r~ a~lting the a~ ~ri~ p~i~
and all ~ ~mfe and righ~ of the ~Ry o~ I~ ~ ~n in and lu ~M p~m~; ~ HAVE AND ~ HOL{D
I~ ~ prem~ have ~ ~cum~l in any way whalevcr, ~ ~s afo~ld.
~e ~rd "~y" ~l} ~ co~r~ as if it ~ad "~rl~" whenever ~ ~ of this i~ntu~
l~ ~ W~F, ~ ~)..f ~ fi~t ~ ho duly ex.utaH th~ (~ :hP dav ~d y~t fi~ a~ve
to me k.~own ~ ~ ~e individual d~seribed in and whn
~ecuted th~ foregoing ~t, and nck~wiedged th*t
STAT! M IMW ~, COqMTY Of
On the day o! 19 , I~fore me
personally Mine
to me ~own, wh~ ~ ~ ~ d~y ~o~ d~ ~ ~d
~y~at he~atNo. ..
that he ~ ~
knows ~ ~ of .~d ~m~°n; ~a~ ~ ~ ~
On the da}' ~ 19 , befo~ me
personally c. tme
executed the loregolng inslr, nnent, ami ocknowk'dg,.-"~ att
STAll Ol~ B YOm(, COUNTY
On the day of ~9 , be/~ n~
pers0~illy e~me '
t~ su~bin~ wi~ to ~ fo~oin8 ~ wi~
.that . ~ knows .
to he the individual
described in ~nd ~o ex~uted the foreGoh~ff i~rument;
that he, 'said sul~cr~bing-witness, w~ ptx-se~i and saw
. execute ~ sam~; and th~. be, said whne~
at t~,e same time subscriF-,~l h nome a~ wilneM therego.
Wftu Cu~s~r A~a2svv ~n'rn's Acu
TrrL~
SECTION
flLOCK
CO~K'I'Y OR TOWN
~TURN BY MALL ~'0:
UNIFORM FORaM CERTiFiCATE OF ACKNOWLEDGMENT
Sram of New York
pcrsonally known to me or. provc~d to me on the basis of satisfactory cvidence~to be the
individual (~ whose name(~.~hts~.subscribed tO thc within instrument and
acknowtedged to me that heYsbe:q~y executed thc same in his/ket, M,~ capacity (~,
and tha~ by his/t~r41~ir signal.on thc inslrament, the indivi~:al(~or thc peraon
upon beahalfofwlxich thc individual(~'~acted, ex¢¢ut~l the instmmeat.
UNIFOR/vl FOPoM CERTIFICATE OF ACK.NOWLEDGMENT
State of New Ysrk
County of
On the day of jn thc year .... ., bcforc mc, the
undersigned personalty appeared be the '
p~rsonally known to mc or proved to me on thc basis of.satisfactory critic, ncc to
individual (s) whos~ name{s) isJam subscribed to thc wi~in instrument and
acknowledged to mc d~at he/she/they ~ecuted the same in hisih~r/their capacity (les),
md that by his/h~/their signature(s) on rh~ imm[ thc inliividual(s), or the p~rson
upon behalf of which the individual(s) acted, cxecuted the instrument,
Number V,r ~
TORRENS
Ce~tificale #
Prim Cfi. ~
~ I Mon~e Im~tmmem
Handling 5. __
~-5~
Dccd/ Mortgage Tax Stump
J /~'~
2~4 J Districl
5. 00
SubTotal c~
Sub To~l
Grand TOLM
79-- -
Real
Property O~ :tooo oss~oo osoo o'~aooo
Tax Sen,ice
AIz~¢y
Veil
2002 ~ ~ 12~2~2~ ~
Eduard P.P, oaaine
L 00~012222
P 115
I}T~ 02~'1~'(
R~ng I Filing, Stamps,
Mortgage Ami.
I. Basic Tax
2. Additi~mal Tax
Sub Total
SpecJAssit.
or
Spec. 1Add.
TOT, MTn, TAX
Dun! Town __ Dual Coumy __
Held For Ap~finln~
Transfer Tax
Mammon T~
~ p~ny ~ov~ ~ ~is ~c is
,w will ~ impmv~ hy a
f~ly dwelling only.
or NO
ff NO, ~ a~a~
~ge ~
Considern~on ~o~t
CPF Tax Duc $
Improv~xl
Land __
'I'D
Information
Suffolk
Title #
& Endorsement
This page forms ~ of the altached
OF INSTRUMF, ArF~
The premi.,~ herein is situated in
SUFFOLK COUNTY, NEW YORK.
In the VILLAGE
~r HAMI~'T of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
lover)
SUFFOLK COUNTY CLERK
RECORDS OFFICE
P~CO~DING PAGE
TT~e of In~trmnent: DEEDS/DDD
Number of Pages: 4
T~SFER TAX NUMBER: 02-16893
1000
Deed Amo~t~
Section: Block~
059.00 03.00
~X~NeD A~ ~G~ aS FO~O~S
$o.oo
Recorded=
At:
LIBER:
PAGE~
Lot=
013,000
Received the Following Fees For Above Instrument
Exe~t
Page/Filing $12.00 NO Handling
¢OE $5.00 NO NY$
EA~CTY $5.00 NO EA-STATE
TP-584 $5.00 NO CerC.Cop~ea
RPT $30.00 NO SCTM
Transfer tax $0.00 NO Co~n. Pre~
Feee Paid
TP, ANSFE~ TAX NUMBER= 02-16893
THIS PAOg IS
A PART OF THE INSTR~ENT
$5.00
515.00
$25.00
$%.00
$o.oo
$o.oo
$10~.00
Edward P.Romatne
County Clerk, Suffolk County
~1/26/2oo2
12 =20~29 PM
D00012222
115
Exempt
NO
NO
NO
NO
NO
NO
PLEASE TYPE OR PRESS FIRMLY WHEN WRITING ON FORM
iNSTRUCTIONS: r~t[p://www.orps.state.ny.us, or PHONE (518) 473-7222
FOR COU,,v ~ O~LV ~ ~ ~, ..~. REAL PRO~ ~.~R R~O~
c~ ~ ~ .:~ M ~, ~ ~, ...,/./,~ ~ RP - 5217
PRO~R~ INFORMATION ~
~ L I I
BUYER B_**~ Y ER'S ATI'ORNEY
SELLER
NEW YORK STA'rE
COt'Y [