HomeMy WebLinkAboutL 12709 P 258SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: MISCELLANEOUS - DEED
Number of Pages: 3
Receipt Number : 12-0121775
District:
0300
Recorded:
At:
LIBER:
PAGE:
Section: Block:
012.00 01.00
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
JUDITH A. PASCALE
County Clerk, Suffolk County
10/23/2012
10:53:52 AM
D00012709
258
Lot:
008.001
$0.00
$0.00
$o.oo
$0.00
$o.oo
$0.00
Exempt
YES
YES
YES
YES
YES
~umber of pages
This document will be public
record. Pleaae remove all
Social SecUrity Numbers
prior to recording.
Deed / Mortgage Insa'ument
Page / Filing Fee
Handling 20. 00
TP-584
Notation'
EA-52 17 (County)
EA-5217 (State)
R2.T.S ~A.
Comm. of Ed. 5. 00
Affidavit
Certified Copy
NYS Surcharge 15. 00
Other
4 IDiat. Isec.o,
Real Property.
Tax Service
Agency
Verification
Deed / Mortgage Tax Stamp
FEES
SubTotal
SubTOtal
RECORDED
2012 Ocs 23 t0:53:52 RH
.JUDITH g. PR$CgLE
CLERK OF
SUFFOLK COUNTY
L D00012709
P 258
Grand Total_
--Reco~ting / Filing Stamps
Mortgage Pant.
1. Basic Tax
2. Additional Tax
Sub Total
Spec JAssit.
or
Spec./Add:
TOT. MTG. 'lAX
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.thin instrument.
Co--,m,,l~r l~re_se_~ation lhtnd
Consideration Amount $
CPF Tax Due $
Satida.ctions/Disc~arges/Releasea List Property Owners Mailing Address hrmrowd __
a To: ' Vacant Land
Mail to: Judith A. Pascale, Suffolk County Clerk [ 7 I Title Comma. nv Information
310 Center Drive, Riverhead, NY 11901
www. suffolkcountyny, gov/cterk ,~ ~o. nam~
Suffolk County Recording & Endorsement' Pa e
This page forms pa~t of the attached ~ 0~' ~ made by:
The premises herein ia situated in
SUFFOLK COUNTY, NEW YORK,
TO In the TOWN of
In the Vn .!,AGE
or HAMLET of
BQXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
(over)
0 00~
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A~FU:~Avrr To CoRR~cT- Nuv!E. ~c IOENT~X~_R
ersi ed, De uty Director of the Real Property Tax Service Age~.c~.,
L, the und gn~e., p . ..__ Real Pro"e'~' Tax Service Agency, prese.n~t ~..
Acting for the tnrector oi. mc ~- --J ·
affidavit for the purpose of correcting the Real Property Tax Map Identifier[s)
listed on the reverse.
Gary M.' Simonson
Deputy Director
UNIFORM FORM CER.TIF~CATE OF
STAT~ Or NEw Yot~t )
)§:
CouwrYOr St~OL~ )
o,., Z f
in the year. ~k0/~, the undersigned,
_-------, personally known to me
Notary Public
perSonally appeared ~ ~°~/~ v~
or proved to me on the bnsis of satisfactory evidence to be the individual(s) whose nme(s) is/are
subscribed to the within instrument and acknowledged to me th~sh~ey executed the same
~er/their ¢,pa¢i~y(ies), and th,t ~erltheir signature(s) on the instr~_ment~ the
individual(s), or the nerson uvon behalf for which the individual(s) acted, executed the
instrument.