HomeMy WebLinkAboutL 12825 P 128 11111111 IIII Ilii)111111111 11111 liii 1101 I iiiam 1111
111111101111111110111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: MISCELLANEOUS - DEED Recorded: 07/23/2015
Number of Pages: 3 At: 12:55:36 PM
Receipt Number : 15-0098089
LIBER: 3)00012825
PAGE: 128
District: Section: Block: Lot:
0500 375.00 03.00 013.000
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 $0.00
THIS PAGE IS A PART OF THE INSTRUMENT
THIS IS NOT A BILL
JUDITH A. PASCALE
County Clerk, Suffolk County
.
1 2
Number of pages RECORDED
2015 Jul 23 12:55:36 PM
JUDITH A. PASCALE
CLERK OF
This document will be public SUFFOLK COUNTY
record. Please remove all L D00012825
Social Security Numbers P 128
prior to recording. •
Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps
3 I FEES
Page/Filing Fee Mortgage Amt.
1. Basic Tax
Handling 20. 00 2. Additional Tax
TP-584 Sub Total
Spec./Assit.
Notation
or
EA-52 17(County) Sub Total Spec./Add.
EA-5217(State) TOT.MTG.TAX
Dual Town Dual County
�)
6r1;';..
,; Held for Appointment
Comm.of Ed. 5. 00 Y " Transfer Tax
•
Affidavit �, Mansion Tax
The property covered by this mortgage is
Certified Copy or will be improved by a one or two
NYS Surcharge 15. 00 family dwelling only.
Sub Total YES or NO
Other
Grand Total If NO,see appropriate tax clause on
` (:), /J page# of this instrument.
4 Dist. Section Block Lot 5 Community Preservation Fund
Real Property Consideration Amount$
Tax Service
Agency CPF Tax Due $
Verification
Improved
6 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD&RETURN TO: Vacant Land
CPeCtil er 1 ,,(.r, t 4X' �I�V.��` G u-t.,ev7(,l' TD
C)Old t-At $014)- TD
TD
-h-it 1isd1
Mail to:Judith A. Pascale, Suffolk County Clerk 7 Title Company Information
310 Center Drive, Riverhead, NY 11901 CName
www.suffolkcountyny.gov/clerk Title#
8 Suffolk County Recording & Endorsement Page
This page forms part of the attached _' i_ • + ' ±d f}t/th made by:
(SPECIFY TYPE OF INSTRUMENT)
The premises herein is situated in
SUFFOLK COUNTY,NEW♦YORK.
TO In the TOWN of S< <'a/�'��'�"`�
In the VILLAGE
or HAMLET of
BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
124)104-10/08U
(over)
•
AFFIDAVIT TO CORRECT NUMERIC IDENTIFIER
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 *Y14 '
UNIFORM FORM CERTIFICATE OF ACKNOWLEDGEMENT
STATE OF NEW YORK )
)§:
COUNTY OF SUFFOLK )
/ o?O/
On the
c>2? 11
of "---7"."1/4-17 in the year -tee- , the undersigned,
personally appeared n7- (Sir? °'.6.54'1 ,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
capacity(ies), 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.
Notary Public
BRUCE M.HOTCHKISS
Notary Public,State of New
No.01H06108793
Qualified In Suffolk County ,/
Commission Expires 04/19/20.LY
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