HomeMy WebLinkAboutL 12785 P 254 1111111 IIII 11111 I IIII I IIII VIII VIII 11111 VIII Ilil 1111
1111111 VIII VIII IIII IIII
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: MISCELLANEOUS - DEED Recorded: 08/18/2014
Number of Pages: 3 At: 11:11:41 AM
Receipt Number : 14-0108147
LIBER: D00012785
PAGE: 254
District: Section: Block: Lot:
0100 190.00 03.00 082 .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
F11 21
Number of pages
RECORDED
2014 Aug 18 11:11:41 AM
JUDITH A. PASCALE
This document will be public CLERK. OF
record, Please remove all SUFFOLK: COUNTY
L D00012785
P 254
Stamp Reco ding/Filing Stamps
Page/Filing Fee Mortgage Amt.
1. Basic Tax
Handling 20. 00 2. Additional Tax
TP-5$4 _ Sub Total
Notation _ SpecJAssit.
or
EA-52 17(County) Sub Total Spec./Add. _
EA-5217(State) TOT.MTG.TAX
—
R.P.T.S.A. Dual Town Dual County_..—
Xl
Held for Appointment
Comm.of Ed. 5. 00 Transfer Tax
Mansion Tax
Affidavit ' '
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other
Grand Total If NO,see appropriate tax clause on
page# of this instrument.
4 1 Dist. Section Block Lot 5 Community Preservation Fund
Real Property Consideration Amount$,
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
TD
Mail to:Judith A. Pascale, Suffolk County Clerk 7LTitle Com an Information
310 Center Drive, Riverhead, NY 11901
www.suffolkcountyny.gov/clerk Title#
8 Suffolk County Recording & Endorsement-Pa e
U/
This page forms part of the attached � IJ!T j i i2,-. �made by:
ECIFY TYPE OF TIN RUMENT)
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.
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AFFmAvrr To CoRRF= NZnvx we IDENTTFnm
I, the undersigned, Deputy Director of the Real Property Tax 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
UNIFORM FORM CERTIFICATE of AC .N0NVI XDGEA4F2% r
STATE Or NEW YORK )
§:
Coin OF SUFFOLK )
On the ,rh day of l , ci a s f7 in the year 20@q the undersigned,
personally appeared J t4 U,VS0,✓ ,personally mown to me or
proved tome 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
capacity6es), and that by his/her/their signature(s) on the instrument, the individual(s), or the person
upon behalf for which the individual(s)acted,executed the instrument.
c
Notary Public
BRUCE M.HOTCHM
Notary Public,Stated SWIM
No.01 Ho610M
Qualified in SuffollcC01�► /
Commission Expires 0M191�0