HomeMy WebLinkAboutL 12815 P 602SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: MISCELLANEOUS - DEED
Recorded:
05/01/2015
Number of Pages:
3
At:
12:35:24 PM
Receipt Number :
15-0058600
LIBER:
D00012815
PAGE:
602
District:
Section:
Block:
Lot:
0200
120.00
02.00
013.004
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
Uu
Numbor of pages " 'f
RECORDED
2015 May 01 12:35:24 PM
This document will be public
JUDITH A. PASCALE
record. Please remove all
CLERK OF
SUFFOLK COUNTY
Social Security Numbers
L D00012815
prior to recording.
P
Deed I Mortgage Instrument Deed i Mortga& 1 'ax Stamp
Reco ding / Filing Stamps
3 FW
Mortgage Amt.
Page / Filing Fee =—
1. Basic Tax —
Handling 20. 00 '
2. Additional Tax —
Sub Total —
TP -584 —.
Spec JAssit.
Notation
or
EA -52 17 (County) Sub Total
Spec. /Add. —
TOT. MTG. TAX —
EA -5217 (Sta!
Dual.Town Dual County—
RP.T.SA. X
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
family dwelling only.
15. 00
NYS Surcharge Sub Total
YES or NO
Other —
If NO, see appropriate tax clause on
Grand Total
page # of this instrument.
T4
T—
Lot
5 Community Preservation Fund
Dist.
Section
Block
Consideration Amount $.
Real. Property
Tax Service
CPF Tax Due $
Agency
Verification
Improved
Satisfactions/Discharges/Re-leases List Property Owners Mailing Address
Vacant Land
6 REC.
S.C. REAL PROPERTY TAX SERVICE
TD
ATTN: PAT OLE.7NICZAK -
310 CENTER DRIVE
TD
RIVERHEAD, NEW YORK 119+1
TD
Mail to: Judith A. Pascale, Suffolk County Clerk 7
Title Comipany Information
310 Center Drive, Riverhead, NY 11901
www.suffolkeountyny.gov/clerk Title #
S
Pa
This page forms part of the attached _ """ made by'
14 _(SPECIFY TVE OF INSTRUMENT). Cy
The premises herein is situated in 1 ""`
SUFFOLK COUNTY, NEW YORK.
TO In the TOWN of `
In the VILLAGE,
or HAMLET of
BOXES 6 THRU S MUST BE, TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
u-oca_i~ (ove,
AFFMAvrr TO CORRECT NUMERIC 11DENTMER
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.
R
Gary M. Simonson
Deputy Director
UNIFORM FORM GERTIFIC'ATE OF ACKN0WTLEDGr1VM*-r '
STATE OF NEw YORK )
COUNTY OF SUFFOLK )
On the (30
day of �` / in the year Of , the undersigned,
personally appeared N SO/`J , personally known to me or
proved to me on the basis of satisfactory evidence to be the individual(s) whose nameW is/a;e subscribed
to the within instrument and acknowledged to me that he/sl*Ahey executed the same in hi4w0&ir
capacity( ), and that by hiOier keir signature(s) on the instrument, the individual(g), or the person
upon behalf for which the individual(s) acted, executed the instrument
otary Public
BRUCE M. HOTCHKISS
Notary Public, Slate of New York
No.01Ho6108793
Qualified In Suffolk County /%
Commission Expires 04/19/20
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