HomeMy WebLinkAboutL 12660 P 327SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
T~pe of Instrument: MISCELLANEOUS - DEED
N~m~er of Pages: 3
P~eoeipt N~er : 11-0056969
District: Seotion: Block:
0200 066.00 01.00
EXAMINED AND CHARGED AS FOLLOWS
Reoeived 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
Recorded:
At:
LIBER:
PAGE:
Lot:
001.007
o /ls/2Oll
03:20:49 PM
D00012660
327
Exempt
$o.00
$o.oo YES
$o.00 YES
$0.00 YES
$0,00
$o,oo
JUDITH A. PASCALE
County Clerk, Suffolk County
Number of pages
This document will be public
record. Please remove all
Social Security Numbers
prior to recording.
2011 Hay lB ~:'20:49 PH
JUDITH A, P~O."ILE
CLERK OF
L DBO012~ P
Deed / Mortgage Instrument Deed / Mortgage Tax Stamp I Reco~ting / Filing Stamps
Page 1 Filing Fee
Handling
TP-584
Notation
F_A-52 17 (County)
EA-5217 (State)
,-,.T.S.A. ,l' q
Comm. of EcL
Affidavit
Certified Copy
NYS Surcharge
Otbe~
'4 I Dist.
,..,~ ~ax Service
'? Agency
Vcrification
Sub Total
I Section
15. 00 SubTOtal
Grand Total
Block
Mortgage Amt,
1. Basic Tax
2. Additional Tax
Sub Total
SpecdAssit.
o£
Spec. ladd.
TOT. MTG. TAX
Deal Town ~ Dual County.__
Held for Ap~intment __
Transfer Tax
Mansion Tax
The property covered by this mortgage is
or wilt be improved by a one o~ two
family dwellia§ orfly.
YES__ or NO.
If NO, sue appropriate tax clause on
page # __ of-this instrument.
Commtmtt7 Preservation Fund
Consideration Amount $
CPF Tax Duc $
1Satisfactions/Disch_,.argesgReleasea List Property Owners Mailing address
I ~ ~ ~co~ & ~tt~ to: , v~.~ u,.~ __
I
I ~:L'~ t J/'V'. Ilqol .
J Ma, to: ,Judith A. Pascal~, 8uffolk County Clerk J 7 J .Title Core.RanI Information
J 810 Center Drive, Riwrhead, NY '1'1901 Jco Name
I www, suffolkcountyrty, govtclerk
s l Suffolk County Recording & Endorsement Page
The premises herein is situatm:l ia
SUFFOLK COUNTY, NEW YORK.
TO In the TOWN of ~ ~~
In the VILLAGE
or HAMLET of
BOXES § THRU g MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR F~.ING.
made by:
(ova)
0 ~W~I.LILULLIW
Z
I, the u~dersigned, Deputy Director of the Real Property Tax Servic~ Agency,
Acting for the Director of the Real Property Tax .Service Agency,-presen~ this
affidav/t for the purpose of correcting the Real Property Tax Map Identifier(s)
I/sted on the reverse.
G~ry M. Simonso"'
Deputy Directi~r
STXZ~X C~ N~.w Yo~uc )
coum o S rVOLX )
da], of f"/~7' '
the yeax
or proved to me On the basis of safisfaa~ory evidence to be the i~dividual(s) whose n~me(s) is/are
subscrib~ to ~e within instrument and a~mowledged to me ~hzt heYshd~hey ezectlted the ~ame
/n hLs./heWtheir eapac/tyOes), anc~ that by his/her/their sign. a~re($) on the instrume~t~ the
individual(s), or the person upon behalf for which the individual(s) acted, ezecuted the
~ent..