HomeMy WebLinkAboutL 12712 P 429SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
T~pe of Instrument: MISCELLANEOUS - DEED
NumBer of Pages: 3
Receipt Number : 12-0135762
District: Section: Block:
0100 189.00 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:
038.000
$0 O0
$0 oo
$0 oo
$0 00
$0 oo
$0 00
12/03/2012
09:55:2[ At.'/
D00012712
429
Exempt
YES
YES
YES
YES
YES
JUDITH A. PASCALE
County Clerk, Suffolk County
Number of pares
This document will be public
record. Please remove all
Social Security Numbers
· prior to recording.
Deed / Mortgage Instrument
D~d / Mortgage Tax Stamp
Page / Filing Fee
Handling
TP-584
Notation'
EA-52 17 (County)
EA-5217 (State)
Comm. of Ed.
Affidavit
Certified Copy
NYS Surcharge
Other
20. 00
1.~. 00
SubTotal
Sub Total
(}rand Total
Dist. Section Block Lot
Real Property.
Tax Service
Agency
Verification
' 6 8atisf~.ctio?s/Disch~arges/Releases List Property Owners Mailing Address
~ c~h.~co~ ~ ~r~,~ To:
RECORDED
2012 Dec 03 09:55:21 tim
JUDITH FI, PDSCDLE
CLERK OF
SUFFOLK COUNTY
L D00012712
P 429
1. Basic Tax
2. Additional Tax
Sub Total
SpecdAssit.
or
Spec./Add:
TOT, MTG. TAX
Dual Town . Dual County
Held for Appoinlment
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
'~.age # ~ of-this instrument,
Co~-,~n-~ty Pre~rva~om
Consideration Amount $
CPF Tax Due $
Improved
Vacant Land
I Mail to: Judith A. Pascalo, Suffolk County CIerk i ol Title Company Information
310 Center Drive, Riverhead, NY 11901 '
· Name
www. suffolkcountyny, gov/cterk I Title #
Suffolk County Recordin_o & Endorsement Page..
CIFY TY~E OFINSTRUMEN~ made by:
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
TO In the TOWN of
In the VILLAGE
or HAMLEr of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FffJNG.
A~r~_Avrr To Co~m~_cT N~t~c IDz~g
. ' e u Director of the Real Property Tax Service Agency.,
the undermgned, D p ty . ' c resent thts
I, . eal Pro e Tax Service Agen y, p .
Actin for the Director of the R .. .~ ~ , ~ .... .~.. Toy ~,n Identifier(s)
affid/vit for the purpose of correcung me Real rropc~ LZ --,~ --~--r -
listed on the reverse.
Gary M.' Simons0n
Deputy Director
U~O~ Fo~v~ CE~__.T.T.~C~TE ' o~ ~A~CKNOW~EDGE~V~NT
STAT~ Or N~w Yomc )
)§:
Cot~vrv O~ Sc~ro~ )
_ day of
the year
the undersigned,
personally appeared ~ ~'~t~o~/Jo~ ' , personally known to me
or proved to 'me on the basis of satisfactory cvideaxce to be the individual(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to mc th he/they executed the same
~er/their capacity(ies), and that ~'~her/their signature(s)on the instrument~ the
individual(s), or the. nerson unon behalf for which the individual(s) acted, executed .the
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