HomeMy WebLinkAboutL 12776 P 895 I!111111 IIII!1111 IIIII VIII VIII IIIII Illll 11111 IIII IIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: MISCELLANEOUS - DEED Recorded: 06/10/2014
Number of Pages: 3 At: 11:13:33 AM
Receipt Number : 14-0075163
LIBER: D00012776
PAGE: 895
District: Section: Block: Lot:
0100 209.00 04.00 033.002
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 $0.00
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
❑t ❑2
Number of pages 3
RECORDED
2014 .Jun 10 11:13:33 AM
JUDITH A. PASCALE
This document will be public CLERK OF
record. Please remove all SUFFOLK COUNTY
L D00012776
P 895
Stamp Recoding/Filing Stamps
Page/Filing Fee Mortgage Amt.
1. Basic Tax
Handling 20. 00
2. Additional Tax
TP-584 Sub Total
Notation Spec JAssit.
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX _
R.P.T.S.A.
Dual Town Dual County—
Held y� Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax _
Mansion Tax
Affidavit
The property covered by this mortgage is
Certified Copy _ or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other _
Grand Total If NO,see appropriate tax clause on
page# of this instrument.
4 1 Dist, Section Block Lot 5 Community Preservation Fund
Real Property Consideration Amount$.
Tax Service
Agency CPF Tax Due $
Verification
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD_&RETURN TO:_------ Vacant Land
S.C. REAL PROPERTY TAX SERVICE TD
ATTN: PAT OLEJNICZAK
310 CENTER DRIVE TD
RIVERHEAD, NEW YORK 4AWjJ9oJ
TD
r
Mail to:Judith A. Pascale, Suffolk County Clerk 7 ?Title Com an Information
310 Center Drive, Riverhead, NY 11901
www.suffolkcountyny.gov/clerk Title# e
g Suffolk Coun!j Recording & Endorsement Page
This page forms part of the attached made by:
PECIFY TYPE OF STRUMENT)
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 FILING.
12-0104-10108kx
(over)
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• AFFIDAvrr TO CORRECT NUMERrC IDF:1V'TUTER
I, the undersigned, Deputy Director of the Real Property Tax Service Agency, Acting for
the Director of the Real Property Tau Service Agency, present this affidavit for the
purpose of correc ng the Real property Tax Map Identifiers) listed on the reverse.
r
Gary M. Simonson .
Deputy Director
UI�TIFORM FORM CF.`RZ MCA'TE OF ACKNOWLMGEN43 N r
STATE OF NEW YORK )
COUNTY OF SUFFOLK }
On the9
day of `� � � in the year —ft— the undersigned,
!
ersonallY appeared ,fes �' r' ,personally known to me or
proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s)is/are subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in his,/her/their
capacityGes), and that by his/her/their Apature(s) on the instrument, the individual(s), or the person
upon behalf for which the individual(s) acted,executed the instynunenL
Notary Public
BRUCE M.HOTCHkISS
NOW Public,State of New YOfk
Na 01HO6108703
Qualified in Suffolk County //
Coinngss[on Expires 04119120—LJP