HomeMy WebLinkAboutL 12646 P 939SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: M~SCELLANEOUS - DEED
Number of Pages: $
Receipt Number : 10-0148721
District: Section: Block:
0102 015.00 01.00
EXAMINED AND CHAR~ED AS FOLLOWS
Received the Following Fees For Above Instrument
Exempt
Page/Filing $0.00 YES Handling
COE $0.00 YES NYE SRCHG
EA-CTY $0.00 YES EA-STATE
TP-$84 $0.00 YES Notation
Cert. Copies $0.00 I~S RPT
Fees Paid
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
Recorded:
At:
LIBER:
PAGE:
r.ot:
109.000
$0 O0
$o oo
$o oo
$o oo
$o oo
$o oo
12/2e/20ZO
01:45:52 PM
D00012646
939
Exempt
YES
YES
YES
YES
YES
JUDITH A. PASCALE
County Clerk, Suffolk County
~"
Number of pages
This document will be public
record. Please remove ail
Social Security Numbers
prior to recording.
2010 Dec ~8 01:45:52
j't~ITH R. PR~CALE
CLERK OF
~I~FFOLK COUNT7
P ~9
Deed / Mortgage Instrument D~cl / Mortgage Tax Stamp [ Recording I Filing Stamps
FEES ~
Page / Filing
Handling 20, 00
Notafioll
EA-52 17 (County)
EA-5217 (Statef
R.P,T.$.A. *q
Comm. of Ed. 5. 00
Affidavit
Certified Copy
NYS Su;harge , 1.5, ..00 Sub Total
Other
Grand Total
Dist, [Section [Block
Real Property
Tax Service
Agency
Verification
Sub Total
Mortgage Amt,
1. B~si¢ Tax
2.. Additional Tax
Sub Total
Spex;.tAssit.
or
Sp~./Add.
TOT. MTG. TAX
Dual Town ~ Dual County
H~-ld 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, se~ appropriate tU clause on
I Lo£ ~ [Community Peeser~tiou Fund
Consideration Amount
CPF Tax Due $
Satisfactions/Disc ~h~atges/Releases List Property Owners Mailing Address Improved __
~ ~ RECORD & RETURN TO: . Vacant Land
~ ~ /c,.~,. ttqot
Ma, to: J.d,, Z~,.~, s~% co~, cioi~ ] '~ I Ti,~ Comp~-.V ~.fo~m.tiod
3~0 C~ntor Drivo, iqive~eacl, NY ~90~ IC . '
www. suffolkcountyny._gov/clerk,, [TitleO' ~#
Suffolk County Recordinff & Endorsement Page
~ t (SPECIFY TY~E OF'INSTRUMENT)
Th= p;~mises h~rein is sitaat~ in
SUFFOLK COUNTY, NEW.YORK. ,,a_ //, . _ , . _
la lbo VILLAGE ~~'~'qt-'/~'-/"
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED ~N BLACK INK ONLY PRIOR T° RECORDINO OR FILING,
(over)
TAX MAP CERTIFICATION CORRECTION
SUFFOLK COUNTY REAL PROPERTY TAX SERVICE AGENCY
TO: CERTIFIED
i Di$~Ct Section Block , lot
I 0102 01500 0100 1o9000
[ 0200 ~6700 0300 01000
I b2oo 9~,oo oloo 0o20o0
I 0403 OOLOOo2o0 OlSOll
04o3 00100 0200
l o~ 0o1oo o2~o,OlOOll [
O800 11400 0400 004001
i 0800 114O0 o oo
1000 143O0 O300 O33O04
11000 143OO ~00 0330o~ {
I .... _
I "
I ._
.,
I '-
I
[
[=ROM: CERTIFIED I
District Section BloCk Lot I
-' 'A-DD !
ADD " I
ADD
0403 O0100 0200 019001 I
0403 oo~'d}O 0200 o~gom 1
0403 00100 0200 019o0'1 J
0800 11400 0400de O040O1 I
0800 11400 04o0 ~l~004O02 l
1000 14300 0300~ ..... 033004 I
1000 14300 0300 ~ -~ 033005 I
I
"
I
Signiture of Represen~tive'~ ~ Date
LIBER PAGE
12573 653
12343 347
12150
12507
12507
776
319
32O
321
12507
12645 757
12645 757
12645 84~
12645
842
DOCUMENT TYPE
DEED
DEED
DEED
DEED
DEED
EASEMENT
EASEMENT
EASEMENT
EASEMENT
SCIH 122A (7/04)
A
A~,F~,a..VrF TO Coi?~a~,C~ N~p. IC
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 Direetor
U .~r~.O. XZM I~ORM CJ~RTZ~C~T~., o~r. A~ovv~o~.zvrz~
personally apl~ared
in the year .~Mf_... the undersigned,
,, peFsonally known to me
or pFoved to me on the basis of sati~actory evidence to be the individual(s) whose name(s) is/are
subscribed to the within instrument and acknowledged ~o me th~__~sh~th~ executed the same
~er/their eap~city~es), nd that ~h~er/~.heir signature(s) on the i~gtmment, the