HomeMy WebLinkAboutL 12676 P 544IIIIIIIIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
~e of Instrument: DEED
Number of Pages; 4
Receipt Number : 11-0124689
TP~NSFER TAX NUI~ER: 11-07442
District~
1000
Deed Amount -,
Recorded=
LIBER:
PAGE:
Section: Block:
033.00 05.00
EXAMINED AND CHA~G~D AS FOLLOWS
$o.oo
11/14/2011
0~=27=09 PM
D00012676
544
Lot::
016.000
Received the Fo11~i~ Fees For ~ove Instrument
-Page/Filing .... ' $20.00 NO' '.' 'Handling
C0E "$5.00 ~NO NYS SRCHG"
EA-CTY $5.00 NO EA-STATE
TP-584 $5.00 NO Notation
Cert. Cop£es $C.00 NO '.,~' RPT ''*~'" :-"
Transfer tax $0.00 NO Comm. Pres
Fees Paid
TP~a-NSFER'TAXNIIMBER= 11-07442 ........
THIS PAGE I~ A PART OF TH~ INSTRUMENT
THIS IS NOT A BILL
--' ~20.00 NO
;15.00 NO
$125.00 NO
$0,00 NO
" $~0.00 · NO
'"" ':',~,: $0'; 00~:" NO
$225.00
JUDITH A. PASCALE
County Clerk, Suf[olk County
Number of pages
This document will be public
re, ord. Please remove all
So,iai Securtt~ Numbers
prior to recording,
Deed ! Mortgage Instrument
Deed I Mortgage Tax Stamp
Page / Filing Fee
Handling
TP-584
20. 00
5. O0
Notation
EA-52 17 (County)
EA-5217 (State)
R.P.T3.A.
Comm. of Ed.
Affidavit
Certified Copy
NYS Surcharge
Olher
15, 00
Sub Total
Sub Total
Grand Total
Real Prope
Tax Servi
Agency
11020119 zooo canoe osoo o~sooo
Recording 1 Filing Stamps
MoMgage Amt.
1. Basic Tax
2. Additional Tax
Sub Total
Sp~c/Assit.
or
Spec. lAdd.
TOT. MTG, TAX
Dual Town __ Dual County
Held for Aplx}intmen~~
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, s~e appropriate tax clause on
page # ~ of this instrument,
5 Community P~eaervation Fund
Consideration Amount $ ~ -'-'
CPF Tax Due $
Vexificatiou ............................ ] Improved ~
~1 Vacant Land
M~I to: Judith A. Pascale, Suffolk County Clerk
I 7 i ~fle Cement Information
3~o C~nt~ri~. Ri~e.,~a. NY ~1~01 ~ "~m¢ ~'~~. '
~.suffolkcoun~y. govtclerk I Tit~e ~ ~~ -
Suffolk County Recording & E~sement ~age
~n ~ ViLLAG~
~ / ~ ~-' '- or H~L~ of
BO~S 6 THRU 8 MUST BE TY~D OR PRI~ ~ B~CK INK ONLY PRIOR TO RECediNG OR
made by:
'mis
i~ PRI~E~,B OF:.
OlG. oo~
jersey Title Insurance Comp~my
~CPJP~q
Bioclc 05.00 ~ 016.0013 D~trk~ 1000 Sm:dk~: 033.00
Premism~ being imown a~ ~0 Mtddleton Roecl, Greenp<~t, NY 11944
and roa~ abut~g ~o above ~ ~, t~ b*m ~ente~'
Itne~ereof
8CHEDUt. E "B' OF THIS POLICY CONSIST~ O.c 2 PAGE(~)
hLs~hct~Jt~dr fume(s) es a wimees
Quitchdm Deed
TAKEN IN NEW YORK STAT~
ACKNOWLIDG~ TAKEN OUTSTOE NEW YORK
STAT~
.rvM-~. "' be the inmvld~s) ,,~ nmc(O is (m,~) sulMt~ r~
ea~M:utedihesaflasln bi~Imo~eir~x~l~ies), tha~l~'bl~,TJo~theh.
IxMtf'oFwh~a t:be individual(s} n~sd, axacu~ dta in~,,a~, md
Title No.
v~
YOUI~ TITLE IJtFEETI
The Judchll Tiffs ~ Agefley ~
RETURN BY MAIL TO:
PLEASE TYPE OR PRESS. FIRMLY WHEN wRmNG ON FORM
INSTRUCTIONS: http:/t www.orps, m, me. ny.us or PHONE (518) 473-7222
REAL F'IK)FERTY~A~ ~ ~ ~TRANSFER REPORT
I
NEW YORK STATE I '
COPY
4