HomeMy WebLinkAboutL 12599 P 841SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: MISCELLANEOUS
N~m~er of Pages: 3
Receipt ~m~er : 09-0104999
District:
0100
- DEED Recorded:
At:
09/14/2009
11:48:39 AM
Page/Filing
COE
EA-CTY
TP-584
Cert. Copies
Received the Following Fees For Above Instrument
Exempt Exempt
$0.00 YES Handling $0.00 YES
$0.00 YES NYS SRCHG $0.00 YES
$0.00 YES EA-STATE $0.00 YES
$0.00 YES Notation $0.00 YES
$0.00 YES RPT $0.00 YES
Fees Paid $0.00
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
LIBER: D00012599
PAGE: 841
Section: Block: Lot:
014.00 01.00 067.000
EXAMINED AND CHARGED AS FOLLOWS
Number of pages
TORRENS
Serial #
Certificate #
Prior Cfi. #
Deed / Mortgage Instrument
Deed / Mortgage Tax Stamp
FEES
Page / Filing Fee
Handling
5. 00
5. 00
15. 00
TP-584
Notation
EA-52 17 (County)
Sub Total
EA-5217 (State)
R.P.T.S.A. -)( ~
Conun. of Ed.
Affidavit
Certified Copy
NYS Surchm'ge
Other
4 I Dist.
Real Property
Tax Service
Agency
Verification
Sub Total
Grand Total
Section I Block
I Satisfactions/Discharges/Releases List Property Owners
RECORD' & RETURN TO:
SUFFOLK COUNTY REAL PROPERTY TAX SERVICE
ATTN PAT OLEJNICZAK
300 CENTER DRIVE
RIVERHEAD, NEW YORK 11901
Lot 5
Mailing Address
RECORDED
2009 5ep 14 11:48:39
JUDITH fi. PfSCflLE
CLERK OF
SUFFOLK COUNTY
L ~00012599
P 841
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 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
o.l 4ame Title Company Information
Title #
Suffolk County Recording & Endorsement Page
This page forms part of the attached ~'~q~J ~U( 7 d qQ d0~ ~"~('6j 'A'/ made by:
(SPECIFY TYPE OF INSTRUMENT)
The prenfises 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 25900 0100 032000 DELETE 12271 0909 DEED
ADD 0100 01400 0100 067000 12547 0130 COURT ORDER
ADD 1000 05700 0200 007000 12590 0170 DEED
Prepared by: ,~~
Signiture of Represent~ti~
__ 14-Sep-09
Date
SClN 122A (7~04)
fis. FFIDAVIT TO CORRECT NLryIERIC IDENTIFIER
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 Director
UN,FOR_h/J[ I~OP./Vl CERTIFICATE OF ACICNOVv'LEDG~IENT
STATE OF NEW YORK )
Cotr~m, OF Sm*Fo~ )
0nthe /~
personally appeared
day of J/O~'~/A~//~A~in the year
200~, the undersigned,
, personally lmo~m to me
or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is/are
subscribed to the within instrument and a~knowledged to me tha~she/they executed the same
' hl~er/their capacity(les), and that by(/~s~aer/their signature(s) on the instrument, the
individual(s), or the person upon behalf for which the individual(s) acted, executed the
instrument.
Notary Public
PUBLIC, ,~ate of New Yon
§2-4.85~;401 - Suffolk County .