HomeMy WebLinkAboutL 12697 P 263SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE'
Type of Instrument: MISCELLANEOUS - DEED
Number of Pages: 3
Receipt N~mher : 12-0072099
District: Section: Block:
0206 009.00 03.00
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
Recorded:
At:
LIBER:
PAGE:
Lot:
024.000
$0.00
$0.00
$0.00
$0.00
$0.00
$o.oo
06/25/2012
11:10:32 ~
D00012697
263
Exempt
YES
YES
YES
YES
YES
JUDITH A. PASCALE
County Clerk, Suffolk County
Number of pages
This document wlll be public
record. Please remove all
Social SecUrity Numbers
· prior to recording.
Deed / Mortgage Instrument
Deed / Mortgage Tax Stamp
RECORDED
2012 3un 25 11:10:52
SUPITH fl. PflSCflLE
CLERK OF
SUFFOLK COUNTY
L DOOOt2697
P 263
--Reco[ding / Filing Stamps
Page/'Filing Fee
Handling
TP-584
Notation'
EA-52 17 (County)
EA-5217 (State)
R.P.T.S,A.
Corem, of Ed.
Affidavit
Certified Copy
NYS Surcharge
Other
20. 00
15. O0
Sub Total
Sub Total
Grand Total
Mortgage Amt.
1. Basic Tax
2. Additional Tax
Sub Total
SpecdAssit.
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.
airiest.
ISection Imock
Tax Service ' Consideration Amount $,.,
,,A.g,.enc.y CPF Tax Due $
vermcauon '
sari · IImproved,
o - I sfacUons/Discharges/Releases List Property Owners Mailing Adch~ss
I a4~ c~co~ ~ ~T~To.. . ' I vac~,La~d
I ~to ~c~~ " I
{ , ,t o,. i
I Mail to: dudith A. Pascale, ,..quffolk county Clerk I 71
I al0 Center Drive, Riverhead, NY 11901I co N~me '
I www. suffolkcountyny, gov/clerk I~i;ie, ' "
,~ I Suffolk County Recording & Endorsement Page
(SPECIFY TY~E OFmSTRUMENT)
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
TO In the TOWN of
In the VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FII,ING.
II-01~.10/0S~
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. '" A~FroAvrr To CORRECT N~~c
· ' ctor of the Real Property Tax Se~ce
· ~h~ undersized, Depu~ Dire _ _ -- ~__ ~~ ~oen~, pr~ent th~
~' '-- . ~ .~Z n~.~o,~r nf the Real Pr0pe~ ~ax o~, ~.~-~ ~L
nffida~t for the purpose ox co~ung my tx r
listed on the reverse.
Gary M.' Simonson
Deputy Director
StAT~ 0F N~w Yom~ )
)§:
Co~ 0~ ~~ -
'~ day of
pe~ona~ appear~
or prov~ to me on the b~ of sa~faeto~ ~denee to be the ~duM(s) whose names) ~/are
subscdb~ to the'~t~ ~ent ~d ac~owled~ed ~o me ~ shgth~ ~ut~ the s~e
~er/~e~ ~paci~O~). ~d ~at ~er/the~ s~am~s) on ~e ~en~ the
~dual(s). or ~e noon beh~ for ~e ~d~duM(s) a~ed. ex.ted-the
Notary public