HomeMy WebLinkAboutL 12731 P 858 1111111 IIII 11111 IIIII I I I I I VIII IIII II l If 111111111 III
1111111 IIIII IIIII IIII IIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: MISCELLANEOUS - DEED Recorded: 06/04/2013
Number of Pages: 3 At: 12:06:49 PM
Receipt Number 13-0066760
LIBER: 000012731
PAGE: 858
District: Section: Block: Lot:
0100 230.00 02.00 060.000
EXAMINED AND CHARGED AS FOLLOWS
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $0.00 YES Handling $0.00 YES
COE $0.00 YES NYS SRCHG $0.00 YES
EA-CTY $0.00 YES EA-STATE $0.00 YES
TP-5$4 $0.00 YES Notation $0.00 YES
Cert.Copies $0.00 YES RPT $0.00 YES
Fees Paid $0.00
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
Number of pages RECORUEA
2413 -Jun 04 I2:0~:49 Phi
"J!
R? I TH R. Ps75CALE
rLERK OF
This document will be public SUFFtJLK couH~~r
record. Please remove all L [~rdr 12731
P 85°
Stamp Recording /Filing Stamps
Page /Filing Fee Mortgage Amt.
1. Basic Tax
Handling 20. 00 2. Additional Tax
TP-584 Sub Total
Notation SpeclAssit.
or
EA-52 17 (County) Sub Total Spec. /Add.
EA-5217 (State) ~ TOT. MTG. TAX
Dual Town Dual County
R.P.T.S.A. Held for Appointment
Comm. of Ed. 5• ~ ~ ~ Transfer Tax
` Mansion Tax
Affidavit
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other
Grand Total ff NO,see appropriate tax clause on
page # of this instrument.
4 Dist. S.C. REAL PROPERTY TAX SERVI E 5 Community Preservation Fund
ATTN: PAT OLEJNICZAK
Real Property 310 CENTER DRIVE Consideration Amount $
Tax Service RIVERHEAD NEW YORK
Agency ~ CPF Tax Due $
Verification /
Improved
G Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN T ~ Vacant Land
S ~
" " ~ ~
Mail to: Judith A. Pascale, Suffolk County Clerk 7 • Title Com an Information
310 Center Drive, Riverhead, NY 11901
www.suffolkcountyny.gov/clerk Title #
g Suffolk Count Recordin & Endorsement Pa e
This page forms part of the attached t"1~~(~ftUi ~ ~t ~D{~-~~l Uti made by:
(SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
TO In the TOWN of
In the VILLAGE
i
or HAMLET of G€.
BOXES 6 TI1RU 8 MUST BE TXPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FII..ING.
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TO CoRRrc ~ NtrN~RIC IDENTIFIER
~p1FFIDA
Tag Service Agenc3'~
the unaersignea, Deputy Director of the Reai Property en , pTe~ent
Acting for the Director of the Real Prope Read Pr
party T~ Map Identifie~`(s}
affidavit for the purpose of correcting th
listed on the reverse.
Gary M. Simonson
Deputy Director
CATS OF ACI~NOWI,EDGEMEN'I'
UNIF'OItM FORM CERTI~FI
5TA'1'~ OF NEw Yoxx }
}
Courr~'Y Or S~o~x }
in the year ~ the undersigned,
On the day °f
~ ~'jyfyv~l~a,J , pe~vnally Imo~vn to me
personally aPP~~
' of satisfactory evidence to 6e the imdividnaus) whose names) islare
. ar proved to me on the bans
to the within inslarument and acknoWtedged to me ~shelthe~' eaecnted the game
subscribed
• erltheir sigpata~s) an the instrument, the
er/their capacity(ies}, and tlwt
acted eiecated the
individnat(s}, yr the Hereon span behatf for whieh tl~e md~duat{s} ,
ipstrpiiment. - ~ - .
BRUCE M. HOTCHKIBS
{tlp~aty Public, Slate M NewYOfk
lfo.6lHOfit06793
Qu~fisd in Suffolk Courdll /Gj -
. ~ Expires 04Ii8124.~
Notary ~ c