HomeMy WebLinkAboutL 12583 P 173SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
T~pe of Instrument: MISCELLANEOUS - DEED
Number of Pages: 3
Receipt Number : 09-0028755
District: Section: Block:
0200 495.00 05.00
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
03/18/2009
11:44:07 AM
D00012583
173
Lot:
006.001
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
31
RECORDED
2009 Mar 18 11:44:07
JUDITH ~. PASC~LE
CLERK OF
SUFFOLK COUNTV
L D00012583
P 173
Deed/MortgageTax Stamp
FEES
Recording / Filing Stamps
5. O0
Page / Filing Fee
Handling
TP-584
Notation
EA-52 17 (County)
EA-5217 (State)
R.ETS.A.
Comm. of Ed.
Affidavit
Certified Copy
NYS Surchgrge
Other
4 { Dist.
Real Property
Tax Service
Agency
Verification
Sub Total
5. O0
15. O0
I Section
Sub Total
'Grand T°tal'~/~' ~
Imock ILot
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
I Satisfactions/Discharges/Releases List Property Owners Mailing Address
6
I
RECORD & RETURN TO:
If NO, see appropriate tax clause on
page # __ of this instrument.
SUFFOLK COUNTY REAL PROPERTY TAX SERVICE
ATTN PAT OLEJNICZAK
300 CENTER DRIVE
RIVERHEAD, NEWYORK 11901
5 Community Preservation Fund
· ~onsideration *Amount $
CPF Tax Due $
Improved
Vacant Land
TD
TD
TD
,~7~-o. IName Title Company Information
Title #
Suffolk County Recording & Endorsement Page
This page forms part of the attached ~q~J ~J; 7 0"~ dO~4~'~{'~/c~ made by:
(SPECIFY TYPE OF INSTRUMENT)
8
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 1'O: CERTIFIED'
District Section Block Lot District Section Block Lot LIBER PAGE )OCUMENTTYPE
0200 49500 0500 006002 0200 49500 .0500 006001 12580 004 DEED
0200 95600 0200 014000 0200 95600 0200 013000 ' 12522 882 DEED
ADD 1000 06600 0200 016000 12467 120 DEED
0900 12900 0100 048000 0900 12900 0100 048002 12560 ' 142 DEED
Signiture of R~presen~tive ~
3/1812009
Date
SCIN 122A (7104)
AFFIDAVIT' TO COR-R-ECT NUiVIER.IC IDENTIFI¥.1~. '"' '~..
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. M. Simonson'
Deputy Direeto'r
IJNIFORlVl FORlVl CERTIFICATE OF ACKNOV~rLEDGElvlENT
STXTE OFNEwYOKK )
Com~r~o~ Sm~on~ )
personally appeared
or proved to me On the basis of satisfactory evidence~to be the individual(s) whose name(s) is/are
subsc~bed ~o the.within instrument and a~:knowledged.to me ~s
executed
the
er/their eapaeity(ies), and that/b~ner/their h'e/theY
si~m~ at. re(s) on the instrument, the
'individual(s), or the person upon behalf for which tl~e individual(s) acted, e~reeuted the
instrument.
Notary Public