HomeMy WebLinkAboutL 12109 P 977/~kFFIDAVIT TO CORIZI~.CT N~I~.RIC ID~rI'~I~.. ~
I the undersigned, Senior Cartographer 6f the Rem] perry Tax Service A~ency,
Actin§ for the Director of the Real Pr<~perty Tax Service A~ency, present this
affidavit for the purpose of correctin§ ,he Real Property Tax Map Identifier(s)
listed on the reverse.
//o/h~ T. Blodom
~Semor Cartographer
RECORDED
2001 Mar 27 11:39:49
Edward P.Romaine
CLERK OF
SUFFOLK COUNTV
L D00012109
P 977
UNIFORM FORM CERTIFICATE OF ACKNOWLEDGEMENT
State of NewYork ) '
: CountY 0f Suffolk )
me, the undersigned personally appeared '
, peYsonally known to me or proved
to me on the basis of satisfactory evidence to be the individual(s) whose names(s)
onare subscribed to the within inst~ment and acknowl.e, dged to me that
she/they, ex. ecuted the same in (~_~s/her/their.ca.pa. cityOes), and that by
her/their s~gnature(s) on the instr~ent, the individual(s), or the person
behalf of which the individual(s) a~ted, executed the instrument.
Notary Public
IIt~HARD MO'T~ENBACHEff
.J~. P'U BL!0Ci State of New
~.P.,:48544 -Suffolk Co un]y_~
ExPires, March.l~ ~
~dmber of pages
TORRENS
' Serial #
Certificate #
Prior Ctf. #
Deed / Mortgage Instrument
41
Page / Filing Fee
Handling
TP-584
Notation
EA-52 17 ¢C.ounty)
EA-5217 (State)
R.P.T.S.~
Comm. of Ed.
5 O0
Affidavit
Certified Copy
Reg. Copy
Other
Deed / Mortgage Tax Stamp
FEES
Sub Total
Sub Total
GRAND TOTAL
Stamp
Date
Initials
Real Property Tax Service Agency Verification
Dist.
Section
B lock Lot
Satisfactions/Discharges/Releases List Pro' }erty Owners Mailing Address
RECORD & RETURN TO:
RECORDED
2001 Hat 27 11:39:49
Edward P.Romaine
CLERK OF
SUFFOLK COUNTV
L D00012109
P 977
Recording / Filing Stamps
Mortgage Amt.
1. Basic Tax
2. Additional Tax
Sub Total
Spec./Assit.
Or
Spec./Add.
TOT. MTG. TAX
Dual Town__ Dual County~
Held for Apportionment ~
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 Company Information
co. Name
Title #
Suffolk County Recording & Endorsement Page
· ............ 3 ........ by:
(SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
SUFFOLK COUNt, NEW YORK.
In the Township of
In the VILLAGE
or HAMLET of
BOXES 5 THRU 9 MUST BE TYPED OR PRINIED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
· (OVER)
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: MISCELLANEOUS - DEED
Number of Pages: 3
Distr~Ct:
· 1001
Received the
Recorded:
At:
LIBER:
PAGE:
Section: Block:
002.00 01.00
EXAMINED AND CHARGED AS FOLLOWS
Following Fees For Above Instrument
Exempt
Page/Filing $0.00 YES Handling
COE $0.00 YES TP-584
Notation $0.00 YES Cert.Copies
RPT $0.00 YES SCTM
Fees Paid
THIS PAaE IS A PART OF THE INSTRUMENT
Edward P.Romaine
County Clerk, Suffolk County
03/27/2001
11:39:49 AM
D00012109
977
Lot:
007.000
Exempt
$0.00 YES
$0.00 YES
$0.00 YES
$0.00 YES
$0.00
TAX MAP CERTIFICATION CORRECTION .
FROM CERTIFIED I TO CERTIFJED
DISTRICT ~T I DISTRICT SECTION
.'.. ' Br..DC K
LOT
-(--% / ~/O/
LIBER PAGE