HomeMy WebLinkAboutL 12746 P 807
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: MISCELLANEOUS - DEED Recorded: 10/02/2013
Number of Pages: 3 At: 09:24:10 AM
Receipt Number : 13-0125356
LIBER: D00012746
PAGE: 807
District: Section: Block: Lot:
0200 034.00 06.00 041.000
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-584 $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
?1 2
Number of pages RECORDED
2013 Oct 02 09:24:10 AM
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D00012746
P 307
Stamp Recording / Filing Stamps
Page / Filing Fee Mortgage Amt.
1. Basic Tax
Handling 20. 00 2. Additional Tax
TP-584 Sub Total
Notation SpecJAssit.
or
EA-52 17 (County) Sub Total Spec. /Add.
EA-5217 (State) TOT. MTG. TAX
R.P.T.S.A. Dual Town Dual County-
Held for Appointment
Comm. of Ed. 5. 00 Transfer Tax
Affidavit 4 Mansion Tax
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 y~
Grand Total Z.J If NO, see appropriate tax clause on
page # of this instrument.
4 Dist. S.C. REAL PROPERTY TAX SERVICE S Community Preservation Fund
ATTN: PAT OLEJNICZAK
Real Property 310 CENTER DRIVE Consideration Amount $
Tax Service RIVERHEAD, NEW YORK 1191
Agency CPF Tax Due $
Verification
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO: Vacant Land
PA ~G Tn
eF o`/
TD
Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Com an Information
310 Center Drive, Riverhead, NY 11901 Co. Name
www.suffolkcountyny.gov/clerk Tide #
8 Suffolk Count Recordin Endorsement Page
This page forms part of the attached G~~ G71 U~ made by:
(SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
v
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 FILING.
z-0104.10ioakk
(over)
' >e AVrr TO CgjMECX; NTAWRIC LDD NWg_R
f, the undersigned, Deputy Director of the Real Property Tag Service Agency}
Acting for the Director of. the Real Property Tax Service Agency, present this
affidavit for the purpose of correcting the Real Property Tax Map Identifier(s)
listed on the reverse.
Gary M. Simonson
Deputy Director .
u1s"ORM FORM CE TTTFYCATE OF ACKNOWLEDGEMENT
STATE OF NEW YORK )
COUNTY OF SUFFOLK )
On the day of 2 in the year the undersigned,
personalty appeared Q" , ~trrLcr>+Vw~ , personaly Imam to we
or proved to me on the bans of satisfactory evidence to be the individual(s) whose name(s) islare
subsaibed to the within hot rament and acknowledged io me ~shelthey executed the game
er/their capacity(ies), and that y h' erhheir Future(s) on the mstrament, the
individualK or the neuron upon behalf for which the individual(s) acted, executed the
histnMent.
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M. HOTCHKISS
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